Show:
Assessment
Malnutrition
Labs
Anemia
Refeeding
100
During the assessment of nutritional status, which of the following is the most objective measure?
what is evaluating lab values (biochemical tests)
100
What characteristics are seen in an adult experiencing marasmus
What is muscular wasting and absence of subcutaneous fat
100
What happens to negative acute phase proteins during acute illness or trauma?
What is: Negative acute-phase respondents decrease.
100
What is the description for RBCs who are iron- deficient?
What is microcytic, hypochromic
100
Hallmark signs of refeeding are low________
What is phosphorus, potassium and magnesium
200
In patients with fluid retention, what happens to biochemical indicators of nutritional status, such as serum proteins and electrolytes?
What is decrease in vlaues because of hemodilution.
200
Studies have shown that which factor(s) is(are) the primary determinant of an individual's resting energy expenditure (RMR)?
What is lean body mass
200
Which type of protein status indicator has the longest half-life?
What is albumin
200
What is a measure of iron storage?
What is serum ferritin
200
describe the mechanism that drives refeeding
What is starvation/marasmus=low use of carbs as fuel. Reintroducing high levels of carb into the diet causes inc insulin secretion, driving electrolytes out of bloodstream
300
Measurement of waist circumference >40 for a man can indicate
What is risk for chronic disease? diabetes, heart disease, etc
300
What is the effect of severe malnutrition on the GI tract?
What is atrophy, loss of digestive enzymes, loss of digestive surface area
300
Urine specific gravity is the best test for what condition?
What is dehydration?
300
B12 deficiency anemia is also called
What is macrocytic anemia
300
List 3 risk factors for refeeding
What is anorexa, cancer cachexia, starvation, morbid obesity with large weight loss
400
A patient who currently weighs 145 pounds weighed 180 pounds 3 months ago. How would his current weight be assessed?
What is severe weight loss.
400
List 3 clinical signs of Kwashiorkor?
What is edema, angular stomatis, flag sign in hair, depigmentation of skin, mental changes, anemia, low blood protein lab values
400
Which positive acute phase protein can be measured to indicate presence of inflammation?
What is c-reactive protein
400
Which biochemical measure is useful in evaluating the body's B12 status
What is MMA
400
What are the effects of refeeding on the cardiovascular system
What is Increased in heart rate, blood pressure, oxygen consumption, cardiac output and an expansion of plasma volume. Malnourished heart can easily be given a metabolic demand that is too high for it to supply
500
Which documentation style has been proposed to reflect the nutrition care process?
What is ADIME
500
describe in detail why the concept of adaptation does not occur in inflammatory stress
Cytokines drive hormonal response causing a high demand for glucose, gluceneogeneisis rapid rate, hypercatabolic, hypermetabolic, adaptation to using ketones as fuel does not happen, causing large loss of lean body mass
500
What reorients hepatic synthesis of plasma proteins and increase the breakdown of muscle?
What is cytokines
500
Which of the following food groupings has the greatest iron content? A> Milk, raisins, and spinach B>Broccoli, Rice Krispies, and black beans C>Kidney beans, pistachio nuts, and eggs D>Tuna fish, beef tenderloin steak, and chicken liver
What is Tuna fish, beef tenderloin steak, and chicken liver
500
Why is a thiamin deficiency common with refeeding?
What is functions as a co-factor in carbohydrate metabolism