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47 Cards in this Set

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minerals classified

inorganic- no carbon


major minerals >100 mg per day


trace minerals <100 mg per day

magnesium


function

structure/storage function in bones


assist hundreds of enzymes


regulates nerve and muscle function, inc heart


role in blood clotting process and immune system

magnesium


food sources

commonly eaten foods


unprocessed foods such as nuts, seeds, whole grains, legumes, broccoli, leafy green veggies, avocado, chocolate, other veggies


nuts and seeds best source


hard water can be significant source

magnesium


deficiency

secondary rather than primary- causes excessive vomiting and diarrhea-pathologic conditions


GI tract disorder affect absorption or kidney disease inhibit mineral retention


malnutrition and alcoholism have negative effect on magnesium levels in body

magnesium


deficiency

lose magnesium in body fluids


people with diuretic treatment at risk- increase urinary volume


increase blood volume=increase pressure


symptoms- muscle twitching, muscle weakness, convulsions, growth failure (kids)

magnesium


toxicity

rare but serious


due to non dietary sources such as supplements or mineral salts


UL- 350 mg applies to nonfood sources

potassium


function

primary intercellular positive ion maintains fluid levels inside cells


crucial for functioning of nerves and muscles, including heart (need right amount)


low or high level potassium= cardiac arrest


potassium


food sources

whole unprocessed foods, white potatoes with skin, sweet potatoes, tomatoes, bananas, oranges, other fruits and veggies, dairy products, legumes

potassium


deficiency

dehydration from vomit/diarrhea, diuretics, misuse of laxatives


long term diuretic=consume adequate potassium levels from foods (some wasting, some sparing)


supplementation with sparing is dangerous


symptoms- muscle weakness, confusion, appetite loss, cardiac dysrhythmias (severe)

potassium


toxicity

only from supplements


renal disease= high potassium foods toxic


on dialysis might be at risk (kidney failure)


filter blood for you, fluids build up


symptoms similar to deficiency- muscle weakness, vomiting, cardiac arrest (high levels)


#1 cause of diabetes



iron


function

distributes oxygen throughout body (hemoglobin RBC and myoglobin WBC= both proteins)


assist enzymes in oxygen use in cells-catalyst


some stored in spleen, rest sent to liver


from liver, iron transferred to bone marrow for use in making RBC


some lost in urine,sweat,blood (shedding tissue)


lost iron replaced by dietary sources

iron


factors affecting recommended intake

iron recycled- RBC break down, iron in hemoglobin recycled to liver, new RBC


blood lost=iron lost (can't be recycled, from menstruation and internal bleeding)


absorption- 10-15% absorbed (more during pregnancy, deficiency, growth)


storage levels in spleen, liver, bone marrow


organs- contained in proteins (ferritin and hemosiderin)

iron


food sources

plant and animal sources


heme iron (easier to absorb)- animal sources of meat, fish, and poultry (liver good source)


nonheme iron (plant)- veggies, legumes, dried fruits, whole grain cereals, enriched grains (iron fortified dry cereals)


enriched= thiamin, niacin, riboflavin, iron

iron


factors favoring iron absorption

dietary sources consumed with foods containing vitamin C


consuming iron from several sources improves absorption of total iron


nonhdme iron absorption increases in presence of heme iron

iron


factors inhibiting iron absorption

consumption of foods containing binders


tannins in plants, most in tea and coffee


continual use of antacids and excessive intake of other minerals


pica, consumption of nonnutritive substances

iron


deficiency

reduced supply iron in liver


all levels of deficiency affect oxygen availability throughout body


if neither diet nor body stores iron for hemoglobin synthesis, RBC decrease


blood hemoglobin concentration falls

iron


severe deficiency

hemoglobin and hematocrit levels fall so low that oxygen carried in blood decreased


public health problem


at risk- children, teen girls, women of childbearing age (minority women of low income with many kids)


iron deficiency anemia

microcytes (small, pale, RBC)


hard to perform work/ physical activity (not enough oxygen for muscle use)


cognitive function compromised


developmental delay/ learning prob- in kids


always feel cold


immune system compromised, decreased wound healing ability


pregnant- great risk of premature and low weight

iron sports anemia

form of iron anemia- endurance athletes


body adapts to aerobic development from intense exercise, volume of blood expands


expansion lowers hemoglobin concentration, produces appearance of anemia


positive adaptation of body

alleviate iron deficiency

find cause


internal loss of blood or dietary intake


pica- hunger and appetite for nonfood substances with no iron


geophagia- pica of dirt and clay


amylophagia- pica of cornstarch and laundry starch


pagophagia- excessive ice consumption

iron deficiency


treatment

supplements may be prescribed


increase in iron diet sources- rich foods do not raise hematocrit levels


dose level determined by doctor- physiological requirements


long term compliance to restore levels


iron deficiency


treatment

hemochromatosis alters iron metabolism- excess iron absorption from food and supplements


treatment- blood removal by giving blood reg and decreasing iron containing foods


screening during checkup if over 30, diabetic


done by blood test

iodine


function

part of hormone thyroxin produced by thyroid gland (regulate metabolism)


hypothyroid- overweight


hyperthyroid- skinny


excessive energy or tired

iodine


food sources

seafood, dairy products, eggs (depend on feed animal consume)


salt in us fortified with iodine

iodine


deficiency

reduces amount of thyroxine produced


symptoms reflect effects reduced thyroxine- weight gain and sluggishness


severe during pregnancy- cretinism of fetus resulting in perm mental and physical retardation

iodine


deficiency

goiter- enlargement of thyroid gland (on neck)


extended iodine deficiency, thyroid gland compensates for low iodine and expands


remains after iodine intake sufficient


most in Europe, Africa, South America, central America


may be caused by goitrogens- sub in root veg cassava and cabbage (suppress actions)


gland swells but iodine level not initiating agent


fluoride


function

increases resistance to tooth decay and part of tooth formation


skeletal health depends on fluoride for bone mineralization


water is fluoridated

fluoride


food sources

vary


most consistent fortified water, fluoride added


tea, seafood, seaweed


not regularly consumed, particularly by kids during tooth formation

fluoride


deficiency

low levels increase risk of dental cavities


hygiene, food choices, and genetics affect plaque and dental cavities


fluoride


toxicity

too much can cause fluorosis- mottling or brown spotting of tooth enamel


severe can cause pitting of teeth


UL- 10 mg

water


function

hosts other substances of different electrical charges


intracell fluid (within cell)- water and concentrations of potassium/phosphate


interstitual (between cell)- concentration of sodium and chloride


extracell (outside cell)- plasma and watery components of body organs/substances

water


digestion and absorption

water is inorganic, not digested


passes quickly to small intestine


most absorbed, rest regulated by colon


either absorbed or excreted with feces

water


metabolism

integral component


metabolism- water released as by product of oxidative reactions


may be part of process to release energy from ATP


may be excreted as waste or used elsewhere


glycogen (muscle/liver) have glycogen mol


glycogen used for energy, water available for body functions

water


thirst mechanism

fluid gained through consuming food/bev and metabolism


lose fluids in urine, sweat, evap, exhaling, feces


illness- fever, coughing, vomit, diarrhea, runny nose, blood loss, trauma


exercise, preg, breastfeed, diuretics


environment- temp, humidity, altitude

water


thirst mechanism

homeostasis maintained by- electrolytes (mineral/blood proteins)


extracell distribution of fluid depends on sodium and potassium on intracell water


moves within/between-interstitual


imbalances fixed by mechanisms causing thirst and reg kidney ability to release/retain fluids

water


thirst mechanism

stimulates desire to drink (controlled by hypothalamus)


water level low, sodium and solute level in blood increase (water drawn from salivary glands to produce more fluid for blood=dry mouth)


mechanism faulty, hormonal mechanisms conserve water by reducing urine output


illness, physical exertion, aging



water

kidney mechanisms regulate amount excreted


500 ml (1 pint) must be excreted daily, regardless amount ingested, clear waste products


relies on actions of brain, kidneys, pituitary gland, and adrenal gland


kidney produces, bladder holds

water

body fluid low, hypothalamus stimulates pituitary gland to release ADH (hormone)


ADH secreted from high sodium levels or low blood pressure/blood volume


kidney target organ, kidney decrease fluid excretion, fluid recycled

water

high sodium concentration (too much fluid excreted), kidneys release renin- enzyme activating blood protein angiotensin


raises blood pressure by narrowing vessels


prompts adrenal gland to release aldosterone (hormone)- kidney is target


effect decreases excretion of sodium, kidneys retain fluid

water


fluid and electrolytes

fluids follow salt concentrations- cells control fluid balance by directing movement min salts


electrolytes- min that carry electrical charges in ions when dissolved in water


prim extracell electrolytes- sodium=cation, chloride=anion


prim intercell electrolyte- potassium=cation


cell control move of electrolytes- fluid balance


water follows sodium concentration

water


imbalances

abnormal shift in fluid balance- cause deficit/excess


Fluid volume deficit (FVD)


FVD- vascular, cell, intracell dehydration


severe FVD- levels fall by 10% body weight, med emergency


risk for FVD- fluid lost and replacement limited

FVD


can occur from- diarrhea, vomiting, high fever, sweating, diuretics, polyuria (excessive urination)


losing lots of fluids

FVD


characteristics

infreq urination, dec skin elasticity, dry mucous mem, dry mouth, unusual drowsiness, lightheadedness/disorientation, extreme thirst, nausea, slow/rapid breathing, sudden weight loss


at risk- older adults and infants

FVD

fluid volume excess- person experiences increased fluid retention and edema


compromised regulatory mechanism, excess fluid intake, excess sodium intake


immune system compromised, can't regulate

water


edema

excess accumulation of fluid in interstitial spaces caused by seepage from circ system


retention of about 10% more water than normal


pitting edema- degree which you can push fluid in tissue

water


intoxication

consuming large amount water in short time- dilution of electrolytes in body fluids


cause muscle cramps, dec blood pressure, weak


extensive loss of electrolytes from dehydration and rehydration using only water, without add/replacement electrolytes


rare but in athletes- continually hydrate without equivalent loss of fluid

water

overhydration- rare but result in hyponatremia


dehydration- too little fluid consumed