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39 Cards in this Set

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Nutrition

The sum of all processes involved in taking in nutrients & using them to maintain body tissue & provide energy.

Essential Nutrients

Body cannot make for good health so need to obtain through diet.



Carbs, Fats, Protein, Vitamins, Minerals, water.



Provide energy, build & repair tissue, regulate body processes.

Nutrient

A chemical compound or element found in food that is necessary for good health.

Carbohydrates

Promote normal fat metabolism, spare protein, enhance lower GI function.

Proteins

Build & repair body tissues,


regulate fluid balance,


maintain acid base balance,


produce antibodies,


provide energy, &


produce enzymes & hormones.

Fat Soluble

Vitamin A, D, E, & K



Stored in the body, excess is toxic.

Water Soluble

Folic Acid, Vitamins B & C, Niacin.



Not stored in body. Excreted in the urine.

Vitamins

Facilitate metabolism of proteins, carbs, & fats. Acts as catalyst for metabolic functions.



Promote life & growth processes, maintain & regulate body functions.

Full Liquid diet is deficient in what?

Protein & fat

Mechanical diet

Minimal chewing.



Used for pt with:


- dental problems


- surgery of head or neck


- dysphagia.

Sodium intake for 51 & older

Less than 1500mg

Saccharides

Simple sugars

Monosaccharides

Glucose, Fructose, Galactose.



One sugar unit. Require no digestion. Absorbed directly into the blood.

Disaccharides

Sucrose, Lactose, Maltose.



Made of 2 sugar units. Reduced by hydrolysis into monosaccharides before being absorbed.

Polysaccharides

Starch, Glycogen, Dietary Fiber.



Made up of long chains of glucose units.



All carbs break down into simple sugars when digested.

Glycogen

AKA Animal starch.



Stored form of carbs in the liver & muscles of the body. Used when blood glucose level is low.

Complications of TPN

- Sepsis


- Pneumothorax


- Hemothorax


- Phlebitis


- Thrombosis


- Fluid & electrolyte Imbalances


- Hyperglycemia or Hypoglycemia


- Metabolic disturbances


- Bone disturbances

Vitamin C Sources

- Citrus fruits & juices


- Broccoli


- Peppers


- Tomatoes


- Potatoes


- Fortified beverages

Calcium Sources

- Milk & cheese


- Green leafy vegetables


- Fish with bones


- Fortified cereals

Sources of Iron

- Clams, Oysters, Fish


- Poultry


- Whole Grains


- Legumes

Sources of Potassium

- Sweet Potatoes


- Fruits and vegetables


- Fresh meat


- Milk

Complete Proteins

- Meats


- Poultry


- Fish


- Milk & cheese & soy

Incomplete Proteins

- Grains


- Legumes


- Nuts


- Seeds

Nutritional Risk Among Adolescents

- Iron & Calcium deficiency


- Folic acid & vitamin A & B deficiency

Anorexia Nervosa

An eating disorder characterized by self imposed starvation, typically develops in adolescence.

Bulimia Nervosa

Eating disorder characterized by binge(excessive) eating followed by purging or other inappropriate behavior to prevent weight gain.



Signs & Symptoms:


- Depression, substance abuse, OCD.


- Tooth erosion


- Calloused knuckles


- Swollen parotid (Salivary) glands


- Broken blood vessels in face


- Esophageal & sinus infection from vomiting.

Low-Residue Diet

- Strong spices are avoided


- Ground meats


- Pureed fruits & vegetables


- MILK RESTRICTED

Soft Diet

Used for people with conditions affected the GI tract:


(Acute diverticulitis, inflammatory bowel disease, gastritis, esophageal varices, indigestion, diarrhea)



- Low in fiber


- Strong spices are avoided


- Ground meats


- Pureed fruits & vegetables


- Supplements may be added

Low-Fat Diet

Limited on total fat, saturated fat, & trans fatty acids.



Prevents & treats:


- Atherosclerosis (cholesterol & fat in artery walls)


- Heart disease


- Hyperlipidemia (elevated levels of blood lipids)

Fat-Controlled Diet

Severe fat restriction. (25g/day)


Treats:


- Diarrhea


- Steatorrhea


- Flatulence


- Diseases of Hepatobiliary tract, pancreas, intestinal mucosa, & lymphatic system.

Hyperemesis Gravidarum Nutritional Treatment

(Morning Sickness)



- Eat dry grain products before getting out of bed


- 5 or 6 meals that include protein per day


- Avoid empty stomach


- Drink before and after meals to avoid feeling full


- Avoid high-fat & fried foods


- Avoid strong odor foods

Clear Liquid Diet

Nonirritating, easily digested, little residue in GI tract. Low in calories, proteins, & nutrients.



Typically used before diagnostic tests, before & after surgery, or during episodes of diarrhea or vomiting.



Used for less than 3 days.

Full Liquid Diet

Used as Transition diet after Clear Liquid diet.



More nutritional, but still lacking iron, zinc, & fiber.

Sodium-Restricted Diet

Treats hypertension, heart failure, edema, myocardial infarction, cirrhosis accompanied by ascites, & chronic renal failure.



Low-Fat milk products, fruits and vegetables.



NAS - 2K-3K mg/day sodium


DASH - 1500 or 2400 mg/day

What diet for pt with Dysphagia?

Mechanical Soft diet

Fluid Restriction diet

For Pt with kidney disease with low urine output, congestive heart failure, directly after myocardial infarction, in hepatic coma, or in the presence of ascites.



500 - 750 mL/day plus amount equal to daily urine output. Also limit sodium intake.

Increased Fluids diet

For:


- Kidney stones (renal calculi)


- Urinary tract infection


- Diarrhea or vomiting


- Malabsorption (inflammatory bowel disease)


- Burn injured Pts

Low-Purine diet

Treats gout (arthritis). Not a cure.


Avoid:


- Organ meats high in purine


- Alcohol


- Selected seafoods

Lavage vs Gavage

Lavage - the therapeutic washing out of an organ.



Gavage - the administration of food or drugs by force typically through a tube leading down the throat to the stomach.