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113 Cards in this Set
- Front
- Back
Give two examples of fat soluble vitamins
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A & D
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Do we have deficiency problems with fat soluble vitamins?
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No we store them easily
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What form of vitamin A is the preform? the active form?
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Retinol
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What form of vitamin a is a precusor and needs to be altered?
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beta carotinoid
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What causes macrocytic anemia?
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lack of folate
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What do the blood cell divisions look like in macrocytic anemia?
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one less division, so you get half the cells...they are large
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What things provide vitamin a in the retinol form?
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cow things, animal things...cheese, milk, eggs, meat
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Retinol is preformed....it comes in as retinol and put right into....
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...chylomicron
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Beta carotine has to be changed before we put it in teh chylomicron. Why can we not over load with it?
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Because to change it, we use an enzyme and we are limited with this enzyme
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90% of preformed vitamin a (retinol) is stored where?
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Liver....so eating liver could be toxic
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What are the forms we use Vitamin A in?
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Retinal & retinoic acid
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Which specific vitamin works with the eyes?
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retinol...vitamin A
Everything else is retinolic acid |
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What does vitamin A do to cells?
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help differentiate cells
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what is xyroxthalomy? what vitamin is it related to?
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dry eye syndrome b/c cells didn't differentiate because of lack of vitamin a
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what problem happens with elderly with lack of vitamin a?
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macular degeneration
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With lack of vitamin a, why does the skin and digestive system crack?
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differentiation with epitheliation doesn't happen
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What is the toxicity level of Vitamin A?
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100X the RDA in one dose?
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Other than being fat soluble, what other word can describe vitamin A?
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antioxidant
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What is Vitamin D necessary for?
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calcium binding protein
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If calcium levels in body are low, vitamin D helps us absorb more calcium three ways...
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1. From our Diet
2. Reabsorb more calcium from kidney nephron 3. Helps to reabsorb calcium from bone |
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What is Vitamin D acting like when it helps us encourage absorption of calcium?
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like a hormone
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What is problem in Rickets?
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Lack of vitamin d causes softening of bones in adults b/c we can't absorb the calcium to build our bones
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Best source of Vitamin D
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milk
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Can Vitamin d be toxic?
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Yes. you can get hypercalcification in soft tissues (kidney stones)
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What is Vitamin E best known for?
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an antioxidant...functions for cardiovascular disease from fats that are oxidizied
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What are the Antioxidant vitamins?
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A,C,E, selenium, phytochemicals
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What is Vitamin E necessary for?
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immune functions & nerves
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Do we see Vitamin E deficiency in US?
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Hard to make someone deficient in Vitamin E, but if you have malabsorption of fat deficiency then you might see it.
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What kind of vitamin is Vit E?
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fat soluble
antioxidant |
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What does Vitamin E have to do with babies?
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Vitamin E shot given to premies, b/c it doesn't cross the placenta
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What kind of anemia does lack of vitamin E cause?
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hemolytic anemia
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What is problem with cooking with Vitamin E?
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High heat kills it...french fries
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What is the phrase to know about Vitamin K?
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...blood clotting vitamin
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What is dependant on the availabiltiy of Vitamin K?
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blood clot cascade is dependant on vitamin K and calcium
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Do we see a lot of deficiencies of Vitamin K?
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No, they are rare, but if there is a lipid malabsorption problem, then you might see it.
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What is a good source of Vitamin K?
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green leafy vitamins
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What is a non food source of Vitamin K ?
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We can make it in our bodies...in our intestines
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What is the relationship with babies and Vitamin K?
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does not cross the placenta, so they give the baby a shot of vitamin K at birth to make clotting factor. All babies get it.
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Do we see toxicity with Vitamin K?
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rare, but can happen with pills...so we don't sell Vitamin K pills
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What kind of vitamin is Vitamin K?
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fat soluble
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What are the fat soluble vitamin?
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ADEKa
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What is problem with beriberi?
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Lack of vitamin B1...thiamin....nerve damage lack of energy to nerve affects heart function, mental confusion. Not affecting us, but with Weirniski korsakoff syndrome...alcohol problem
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What is a good source of thaimin?
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Pork
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What is problem with having a pork chop for dinner if you are looking to have Thiamin, B1?
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Heat destroys it, so you have to cook it low and slow and long
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Is there a toxicity with B1?
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No
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What do we use Riboflavin B2 for?
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To make energy from CHO F P
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What are the problems with a deficiency of Niacin? B1?
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The three D's...dementia....dermatitis....diarrhea
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Why are the three d's the problems with lack of Niacin, B1?
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b/c not making enough energy and we don't have enough so these are high requirement areas with high turn over.
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What allows us to make Niacin?
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tryptophan
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Where did we find a deficiency in US with Niacin?
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deep south, with diet of cornmeal, fat back and molasses. Corn has not tryptophan that allows us to make Niacin
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What is the biggest problem with water soluble vitamins?
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Getting them in our body...
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What should you make sure you do when you cook water soluble vitamins?
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cook in as little of water as possible preferrably steam them because vitamins leak out in the water
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What is the key word that describes how B vitamins work?
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co-enzymes
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In order to change pyruvate into acetylco-a, what three vitamins/minerals do you need?
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Biotin
Thiamin Panothynic Acid |
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What is another name for Vitamin C?
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Asorbic Acid
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What is another word to describe how Vitamin C works?
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co-enzyme
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What is the RDA for Vitamin C for a woman?
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75mg
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What is teh RDA for Vitamin C for a male?
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90mg
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What do you add to the RDA for Vitamin C if you are a smoker?
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35mg
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What is the upper limit for intake of Vitamin C?
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2000mg
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Describe the absorption of Vitamin C
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We absorb the first 100mg then we only absorb 25%
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Deficiency in Vitamin C causes the skin to...
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break down and have pinpoint hemorrhages
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What amount of Vitamin C do we need to protect us from scurvy?
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10mg/day
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What does Vitamin C do to our watery fluid?
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Protects them. For a healthy immune response
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Vitamin C and Iron. What is the relationship?
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Vitamin C enhances our absorption of Iron
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Vitamin C and Vitamin E
What is the relationship? |
Vitamin C restores Vitamin E to preoxidative state.
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Who does Vitamin E protect?
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A
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Who does Vitamin C protect?
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E
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Excess vitamin c could lead to this incorrect lab analysis of your blood
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positive glucose test
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Who inspects water?
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EPA
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Who inspects well water?
Who inspects bottled water? |
department of health, if you call them
no one if it doesn't cross state lines |
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What mineral is the most abundant in our body?
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calcium
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What does Calcium enhance the absorption of?
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Vitamin D (b/c it makes a calcium binding protein)
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What rate is calcium absorbed as adults?
as children? |
30% as adults
75% as children |
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What two things would decrease calcium absorption?
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oxilates (compound that binds the calcium
phosphorus (if it is high in blood, then we don't absorb calcium) |
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What stops the reabsorption from bone? (a hormone)
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Calcatonin
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What hormone in women stops the reabsorption from bone?
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estrogen
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If blood calcium drops, what does pth do?
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increases absorption from diet
secretes less from kidney reabsorbs from bones |
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Who is the bone breaker?
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PTH parathyroid hormone
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Who is the bone make?
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calcitonin
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What cycle needs calcium?
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visual cycle
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What is calcium's role with muscles?
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necessary for muscle contraction and relaxation. Tetany is too much calcium
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What does calcium do to the cardiovascular department?
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raises blood pressure
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Who stimulates the osteoclasts? what do the osteoclasts do?
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PTH, they break bone
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Where is type 1 osteoporosis affecting?
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tribecular bones wrists, vertebrae
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Where is type two osteoporosis affecting?
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all bones. this is elderly one.
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What is the only known function of iodine?
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to make thyroxine in thyroid gland
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How is iron absorbed?
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poorly
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Which iron Meat or Veg/Grain is more readily absorbed?
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Meat
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What is hemochromotosis?
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genetically inherited disease. Baby can't escrete iron & it gets toxic.
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What really in simple terms is the visual cycle?
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How we use Vitamin A to see
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What vitamin do we use up in every cycle of the Visual cycle? (we need to have a continual source of it)
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Vitamin A
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List the vitamins and minerals that are needed for the VISUAL CYCLE.
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Vitamin A
Niacin calcium |
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What do we start the SYNTHESIS OF VITAMIN D with?
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Acetyl co-a
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Where do we finish the job of making Vitamin D in our skin?
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The Kidney
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What stimulates us to make Vitamin D in our skin?
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PTH
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So the pathway for making Vitamin D starts in the skin, ends in the kidney, and has a midway point in the ____________.
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Liver
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What is necessary for the liver to change vitamin D?
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Niacin
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The blood clotting cascade is dependant on Vitamin _____.
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K and also on Ca
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Vitamin E also works as a _______________.
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antioxidant
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A lack of Vitamin ____ can cause nerve damage.
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B12
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Other than preventing nerve damage, what other function does vitamin b12 have in the body?
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changes inactive to active form
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We need sufficient folate to make _______.
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DNA
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I cause the first break in epithelial cell in artery that starts plaque build up.
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Homocysteine...a by product of eating meat
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Having ______ helps to get homocysteine out of your body because it changes THF -CH3 to THF
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B12
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Hemolytic anemia is caused from a lack of __________.
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babies...they get a shot of vitamin E
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Macrocytic anemia is caused from a lack of __________.
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Folate or B12
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Microcytic anemia is caused from a lack of
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Iron deficiency
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why do babies get a shot of Vitamin k at birth?
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clotting factor
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lack of vitamin c causes the breakdown of
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collagen
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what vitamin helps to make amino acids?
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b6
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Who is folate's best friend?
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b12
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List the b vitamin other names
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thiamin
riboflavin niacin b6 b12 |