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48 Cards in this Set

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SGA

This is the history, intake, GI symptoms, functional capacity, physical appearance, edema, weight change

Stands for Subjective Global Assessment

MNA

Evaluates independence, medications, number of full meals consumed each day, protein intake, fruits and vegetables, fluid, mode of feeding; 65 years of age and older

Mini Nutritional Assessment

NSI

Nutrition Screening initiative (elderly)

GNRI

Serum albumin, weight changes

Geriatric Nutritional Risk Index

MST

Acute hospitalized, % weight loss, BMI, intake, >70 years

Malnutrition Screening Tool

MUST

BMI, unintentional weight loss, effect of acute disease on intake for more than 5 days

Malnutrition Universal Screening Tool

Six types of Anthropometrics

Hamwi Formula


% weight change


TRICEPS SKINFOLD THICKNESS


ARM MUSCLE AREA


BODY MASS INDEX


WAIST CIRCUMFERENCE

Section 2: significant weight loss: 10% loss within 6 months

Hamwi formula

Estimates desirable body weight


Medium: women 100 lbs for 5 ft. Add 5 lbs for each additional inch. Subtract 5 lbs for each inch under 5 feet. Medium men same but 106 lbs. Add 6 lbs for each inch. Subtract 6 lbs


Small subtract 10%. Large add 10%

An anthropometric

Anputations


Such as entire leg. %


Lower leg with foot %


Entire arm. %


Forearm with hand. %

Subtractions: Entire leg 16%. Lower leg with foot 6%. Entire arm 5%. Forearm with hand 2.3%.

Amputations: entire leg

16% subtract of body weight

Amputation: lower leg with foot

Subtract 6%

Amputation: entire arm

Entire arm 5%

Amputation forearm with hand

2.3%

Adjusted IBW

(100 - % amputation)/100 X IBW for original height

Spinal Cord injury: quadriplegic reduce by ______% of table weight

10-15%

Spinal Cord injury paraplegic reduce by ______% table weight

5-10%

% weight change - stress significance of weight change; assess nutritional risk

Usual wt (minus) actual/CBW


______________________________ = % wt change


UBW X 100


TSF

1.Measures body fat reserves; measures calorie reserves


2. Standard male 12.5mm; female 16.5 mm

Triceps skinfold thickness

AMA

Measure skeletal muscle mass (somatic protein)


To determine use TSF and AC (arm circumference)


Standard male 25.3 cm; female 23.2 cm


Important to measure in growing children

Arm muscle area

HEALTHY ADULT BMI

18.5-24.9 healthy for most elderly 24-29. 25-29 overweight. 30 and above obese

Body mass index

Waist circumference

>40 M, >35 F is independent risk factor for disease when out of proportion to total body fat (with BMI of 25-34.9)

What is best anthropometric measurement for risk

Waist circumference. Because predicts central adiposity (lower torso around abdominal area)

Nutrition focused physical exam


Inspection

Gathering information via observation

Nutrition focused physical exam


Inspection

Gathering information via observation

Palpation

Gather data via touch

Nutrition focused physical exam

Auscultation

Listening to heart, bowel

Nutrition focused physical exam

Percussion

Not done by RD, but findings recorded in medical record

Nutrition focused physical exam

Hair is thin, sparse, dull dry brittle easily pluckable

Vitamin C, protein deficiency

Assessment

Eyes are pale, dry, poor vision

Vitamin A, zinc or riboflavin deficiencies

Assessment

Lips are swollen, red, dry, cracked

Riboflavin, pyridoxine, niacin deficiencies

Assessment

Tongue smooth, slick, purple, white coating

Vitamin or iron deficiencies

Assessment

Tongue smooth, slick, purple, white coating

Vitamin or iron deficiencies

Assessment

Gums sore, red, swollen, bleeding

Vitamin C deficiency

Assessment

Teeth missing, loose, loss of enamel

Calcium deficiency, poor intake

Assessment

Skin pale, dry, scaly

Iron, folic acid, zinc deficiency

Assessment

Nails brittle, thin, spoon shaped

Iron or protein deficiency

Assessment

Serum level of transferrin rises during what deficiency?

Iron

How much should Stacy gain for pregnancy with a BMI of 26?

15-25 lbs.

How much should Stacy gain for pregnancy with a BMI of 26?

15-25 lbs.

How much weight should a woman gain with normal BMI for pregnancy? (18.5 - 24.9)

25-35 lbs

How much should Stacy gain for pregnancy with a BMI of 26?

15-25 lbs.

How much weight should a woman gain with normal BMI for pregnancy? (18.5 - 24.9)

25-35 lbs

Woman who is obese and going to be pregnant. How much weight should she gain (BMI>30).

11-20 lbs.

Measures the viscosity of liquids or semi solid foods that flow on a flat surface

Line-Spread test

Compares the ratio of the density of a substance to the density of a standard (usually water for a liquid, or for a solid and air for a gas). This test is typically used for comparing the lightness of egg-white foam.

Specificity Gravity

Measures tenderness and firmness and is typically used in baked custard test

Penetrometer

Measures viscosity of fluids that flow on an inclined plane or on an rotational basis, typically used in a syrup testing

Viscosimeter

5 basic tastes

Sweet, salty, sour, bitter & Umami

The one with a U is for flavors from soups, stock and MSG