Metabolism
Chemical reaction in the body to convert food to energy
Metabolism
Alterations in this system are often the cause of metabolic disorders
Endocrine
The best indicator of nutritional status
Albumin
Carbohydrates, protein, lipids
Macronutrients
Type _ is on you
II
A metabolic process that produces 36 molecules of ATP
Aerobic metabolism or Krebs cycle
Patients labs indicate low TSH level, high T3 & T4
Hyperthyroidism
Long term evaluation of glucose control & goal range
Hgb A1c <6.5%
50% of caloric intake, desired energy source for most of the body
Carbohydrates
Retinopathy, nephropathy, neuropathy, HTN, CAD, Stroke
Chronic complications of DM
Process of converting glucose to ATP
During illness _____ metabolism exceeds _____ metabolism
Catabolic
Anabolic
Indicator of severity and duration of anaerobic metabolism
Lactate
Reserved stored energy
Lipids
Diabetic ketoacidosis, hyperosmolar hyperglycemic state, hypoglycemia
Acute complications of DM
Generates a small amount of energy
Anaerobic metabolism
Inadequate intake of calories & proteins with evident body wasting
Marasmus
dehydration
Goal feeding rate of NG tube feedings
50-65 mL/hr
Technique when drawing up multiple types on insulin
Clear to cloudy
Process in which fatty acids are broken down to produce energy
Catabolism
Prolonged deficiency or absence of protein in the presence of adequate carbohydrate intake
Kwashiorkor
indirect measure of iron metabolism
Transferrin
Tube feeding started at 10 mL/hr if well tolerated and no residual volume increase by 10 mL every 4 hours until target rate is reached
Trickle feeding
Type of insulin that cannot be mixed
Long acting: glargine (lantus) detemir (levemir)