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52 Cards in this Set

  • Front
  • Back
when does digestion begin?
digestion begins when saliva touches the food
what is metabolism?
the changing of food into energy:using stored supplies
what is absorbtion?
when nutrients enter into the blood supply through the intestines
what form is energy stored in and where?
energy is stored as glycogen in the liver
what is the function of carbohydrates?
to provide the body with fast readily usable energy
*there are 4kal/g
what are simple carbohydrates?
simple carbohyrates=simple sugars=mono/disaccharides
what are complex carbohydrates?
complex carbohydrates=starches= polysaccharides
what are all carbohydrates broken ddown into?
monosaccharides
how are carbohydrates transported?
through cell membranes by insulin from the pancreas
what are examples of water soluble fibers?
fruits, oats, and legumes
what does fiber provide?
provides intestinal bulk which combines with bile acids and cholesterol in the gi tract preventing absorbtion and decreasing cholesterol and increase gastric emptying
what are some functions of fiber?
-may change medication absorbtion
-decrease risk of colon cancer
-may help lower blood glucose
-causes flatulence
where is insouble fiber found?
veggies, wheat, and whole grains
what are a few benefits of insoluble fiber?
it is affective in sofening stool and speeds gi transit time
what is an affect of insoluble fiber on medication?
it may decrease the absorbtion
what is the bulk of our body tissue made of?
protein!
what 4 elements make up protein?
carbon, hydrogen, oxygen, and nitrogen!
how many kcal/g does protein supply?
four!
how many essential amino acids are there?
22!
what is anabolism?
synthysis of protein by the body!
what is catabolism?
break down of excess protein in the liver for energy or convertion to fat!
what is nitrogen balance?
the balance between anabolism and catabolism!
what is positive nitrogen balance needed for?
new tissue growth and *****wound healing*****!
how many kcal/g does fat provide?
9!
what are fats neccesary in the diet for?
-the absorption of fat soluble vitamins
-saiety and flavor!
what does fat provide for the body?
cushioning protection and insulation!
a heart healthy diet is less than what % fat?
30!
saturated fat should be less than what percent of intake?
10!
what type of fat is healthier and should make up the majority of intake?
unsaturated fat!
what is a lipid takin in the diet and manufactured in the body by the liver?
choelesterol!
what should serum cholesterol be?
<200
what are the 2 lipoprotiens? and which is healthy?
HDL-healthy & LDL-leathal
what is the term for too many fat soluble vitamins and why?
hypervitaminosis-these vitamins are stored on the body and too much can cause toxicity!
what are the fat soluble vitamins/what sources are they found in/what do they aid in?
a-beta carotene- carrots/eyes antioxidant
d-sun, fortified milk/bones
e-dark green veggies/ antioxidant
k-dark dreen veggies/ clotting
what vitamins are not stored in the body?
water soluble so they need daily intake!
what are some water soluble vitamins?
-b1=thiamin a deficiency= beriberi deficiency often seen in ETOH abuse
-b2 is riboflavin
-b6 is pyrodoxine is given to patients with INH to prevent neuropathies
-b12 needs intrinsic factor of stomach for absorbtion-or IM or intranasally-deficiency =pernicious anemia
what are more water soluble vitamins?
-niacin its used in the Rx of hyperlipidemia
-folic acid essencial for normal fetal development all women should take 800mcg per day to prevent possible neural tube defects during pregnancy
c-ascorbic antioxidant promotes wound healing and helps colds
what are the major minerals?
-calcium-1000mg a day
-phosphorous
-magnesium
-sulfer
-sodium
-potassium
-cholide
what are the miner minerals
-iron
-iodine-which prevents goiter (thyroid)
-zinc-promotes wound healing
-selenium
-copper
-manganese
-fluoride need suplement if not in H2O
-chromium
what percent of an adult body is made up of water?
60%
what percent of a childs body is made up of water?
80%
how many liters of water does an adult need daily?
2-3liters
what are some factors influencing nutrition?
-developmental age-older & infant- finger foods
-gender-m= higher muscle mass =higher calorie intake; f=increased iron d/t menstration
-health status
-ethnicity, culture & religion
-socioecomonic and psychological factors
-lifestyle
-personal preferance
-med/ therapy drug/ nutrient interactions
-alcohol & drugs
-advertising
what should you focus on during an assessment?
activity level, change in wt, appetite, oral &GI difficulty, life changes, cultural/religious beliefs, muscle wasting, edema, loss of sub-q fat
what are some of the different diet a pt can be on?
npo
clear liquid
full liquid
regular
dat
soft
mechanical soft
chopped
pureed
thickened liquids
low residue=low fiber
sodium restricted
diabetic
vegetarian
what are some nursing diagnoses r/t nutrition?
-altered nutrition, less or more
-risk for altered nutrition, less or more
-fluid volume deficit
-self care deficit, feeding
-self-esteem disturbance R/T obesity
-impaired swallowing
-constipation
what is BMI? how is it found? and what is the normal range?
-Body Mass Index
-wt in kilograms divided by ht in meters squared
-range is 20-25
what do the lab values of CBC, HGB, and HCT reflect?
state of hydration s=and anemia
what is the transferin? and what do low levels mean?
-plasma protein that binds to iron
-low levels= protein/iron deficiency
what do serum protein/ albumin levels identify? and why is this important?
they identify malnutrition
- these are important b/c if malnourished the pt is not absorbing meds as effectively and wasting them
what are some ways to promote appetite?
-remove noxious stimuli
-provide oral hygiene/clean pt as needed
-meds prn for pain, fever, nausea
-small protions/ attractive presentation
-familiar foods within diet requirements
-family can be helpfil!!
-independence w/ assistive devices/ utensils as needed
what are ways as a nurse you can assist with meals?
-hygiene before meals
-deliver & check for correct tray
-assess pts ability
-positionpt appropritaely
-open packages/ setup as needed
-for blind use clock sconfiguration to tell where food is
-use adaptive equipment-document