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28 Cards in this Set
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"Patients states he does not tolerate milk." Where would you find this information in a SOAP note? |
Subjective: Information collected via patient, family, etc... This is perceived info. |
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"Based on patient body weight (121% of IBW) & diet recall, pt. would benefit from weight reduction diet plan to reduce increased risk of DM." Where would you find this info in a SOAP note? |
Assessment: Info interpreted from the subjective & objective info. |
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"Pt. states she overeats often." Where would you find this info in a SOAP note? |
Subjective |
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Where would you find a patients' albumin level in a SOAP note? |
Objective: Info collected via lab tests, physical findings, etc... |
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"Pts. physical inactivity & diet recall reveals consumption of high fat foods & increased risk for heart disease." Where would you find this statement in a SOAP note? |
Assessment |
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The Plan section of a SOAP note is the action to be taken, such as "Refer pt. to outpatient RD for wt. mgmt." The plan may be educational or ? or ? in nature. |
Plan: May be Educational, therapeutic, or diagnostic in nature. |
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A pt. has iron-deficiency anemia due to dietary deficiencies. RBCs can be described as what? |
Hypochromic & microcytic |
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PKU is the inability to breakdown ?. It requires the elimination of an ? and ? from the diet. |
PKU: Inability to breakdown phenylalanine. Requires the elimination of an amino acid & aspartame (which contains phenylalanine). |
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Energy needs are [increased/decreased] in HIV & AIDS pts. due to what? |
Increased, due to fever, infection, & malabsorption of fat. |
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You are counseling an AIDS patient, you recommend: a. normal diet b. diet as tolerated c. additional kcals & protein d. both b and c |
d. both b & c Diet recommendation for AIDS pts. include diet as tolerated; additional kcals & protein may aid in resistance to infection. |
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Loss of visceral protein, distended abdominal area, fatty liver, & edema. These symptoms explain what condition? |
Kwashiorkor, which is a protein deficiency, but adequate kcals are present. |
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In order to avoid complications, a T2DM patient should be MOST concerned with what? |
Glucose control & weight loss/control |
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You are writing a meal plan for a diabetes patient; which recommendation should you consider? a. 55% of kcals from CHO b. 60-70% of total kcals from CHO & MUFA combined c. 40% of kcals from protein & <30% of kcals from fat d. 60-70% of total kcals from CHO & PUFA |
b. 60-70% of total kcals should come from CHO & MUFA combined |
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Stage 5 CKD is indicated by a GFR of ? and this requires ?. |
Stage 5 CKD (also known as End Stage Renal Disease, ESRD): GFR < 15 mL/min. & requires dialysis or transplant. |
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BCAA enriched formulas may be indicated in pts. with what condition and why? |
BCAA - needed in those with sever hepatic encephalopathy who do not respond to or comply with lactulose or those who do not tolerate standard protein formulas. |
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Which amino acids are branched-chain amino acids (BCAA)? |
Valine, isoleucine, & leucine |
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<7% of total kcals from saturated fat Up to 20% kcals from MUFA 25-35% of total kcals from fat These recommendations describe which diet? |
The ATP III (Therapeutic Lifestyle Changes, TLC) diet |
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For a pt. with CHF you would recommend: a. low fat diet b. low sodium diet c. low saturated fat diet d. low cholesterol diet |
b. low sodium diet CHF is due to lowered cardiac output, affecting sodium & fluid retention. Tx includes low sodium diet. |
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What dietary recommendation(s) would you make during acute inflammation in a patient with Crohn's disease? |
Consume a low fiber diet |
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Which two disorders may require taking pancreatic enzymes? |
Cystic fibrosis (CF) & pancreatitis |
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For a pt. with COPD the main dietary concern is adequate nutrition to support a favorable respiratory quotient (RQ). What are the macronutrient range recommendations that support a favorable RQ? |
Macronutrients to support favorable RQ: Fat 30-45% of kcals Protein 15-20% of kcals CHO 40-55% of kcals |
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A 66 yo male is 71" tall & weighs 220 lbs. Additional info reveals: A1c 5.2%, BP 137/79, total cholesterol 190 mg/dL, LDL 85 mg/dL. Based on this info you are concerned with ? and recommend ? . |
Concerned with: obesity (BMI 31 kg/mm) & pre-HTN Recommend: weight loss through diet & exercise and sodium restriction (for pre-HTN) |
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What are clinical & health status outcomes? |
Outcomes that include biochemical values, anthropometric data, signs & symptoms, & complications. For ex: 3 mo after a session with a T2DM pt. you check the pts. A1c & body weight. |
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A pt. is experiencing nausea due to EN. What would you recommend? |
Decrease the rate of feeding. |
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A pt. is on a low-residue diet. You tell him to avoid high fiber foods as well as ? and ?. |
On a low-residue diet one should avoid high fiber foods, potatoes, & milk. |
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Which meal is most appropriate for a pt. with diverticulosis? a. yogurt without fruit containing seeds, plain bagel b. blackberries, bran flakes, & milk c. baked chicken breast, white rice, cooked & canned carrots d. ham, mashed potatoes with skins, apple juice |
b. blackberries, bran flakes, & milk A pt. with diverticulosis should consume a high fiber diet & though option d has some fiber, option b has the most fiber. |
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Which test would be used to help determine if a patient has CF? a. glucose tolerance test b. Vanillylmandelic acid test c. fecal fat d. none of these |
c. fecal fat A fecal fat test is used to determine if fat is malabsorbed, as with CF. |
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A patient may be on a full liquid diet due to: a. difficulty chewing b. difficulty swallowing c. following a surgery d. all of these |
d. all of these |
