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68 Cards in this Set

  • Front
  • Back
ADMIE letter A is
assessment
D in ADIME is for
Diagnosis
I in adime is for
intervention
M in adime is for
monitoring
E in adime is for
Evaluation
PES in ADIME is under
Diagnosis
PES in SOAP is under
assessment
biochemical in ADIME is under
assessment
Problem in PES
describes alterations in pt's nutritional status
Etiology is
the CAUSE of the health problems
how many problems in PES
only ONE
how many etiologies in PES?
only ONE
Which is first RT or AEB?
related to, then as evidenced by
S/s in PES are subjective or objective?
either or
PES statement should be specific to the pt.
yes
comparison of current findings with previous status, intervention goals, or a reference standard. Which letter in ADIME?
E
actual occurrence, risk of, or potential for developing a nutritional problem. Which letter in ADIME?
D
purpose of assessment in ADIME?
obtain information
general appearance in SOAP is under
O
interpretation of patient's condition
or level of progress. in SOAP
assessment
stress affect on blood glc
increases it
hypoglycemic fasting bld glc levels
less than 70 mg
impaired fasting glc levels
110-125 mg
Diabetes fasting blood glc levels
125 + (must be confirmed twice)
epi effect on bld glc
it increases it by increasing rate of catalysis of glycogen to glc. This typically happens under stress.
Low Glycemic index range
55 or less
Medium GI range
56-69
High GI range
70 +
beta cell destruction in which type of diabetes?
type 1
INSULIN dependent diabetes
type 1
insulin resistance in which type?
type 2
This type of diabetes develops gradually and can take 7-10 years to diagnose.
type 2
GMD is
any degree of glucose intolerance with onset or first recognition during pregnancy
Fasting glc test. Result = 101. what classification?
impaired fasting glc, prediabetes.
(100 - 125)
fasting glc test. result = 128. classification?
Diabetes. (126 + )
Which fasting glc test must be confirmed on another day?
126 + (diabetes)
FPG test =
fasting plasma glc test
OGTT =
oral glc tolerance test
which glc test is more sensitive?
OGTT
random plasma glc test classification for diabetes
200+ may mean that you're diabetic
3 diabetes test criteria
1. random glc of 200+ w/ acute symptoms
2. fasting glc test of 126 +
3. OGTT is 200+
A1C's should be:
less than 7
Pre diabetes 2 diagnostic criteria:
1. fpg 100 - 125
2. ogtt 140 -200
most of the body's water is in the ecf or icf?
icf (2/3)
ecf (1/3 of tbw) is made up of:
interstitial and plasma
the first place an imbalance of water exists is
plasma
The relative volumes of ECF and ICF are affected by
osmotic gradients
the most abundant anions in ecf are
Cl and bicarbonate
icf most abundant cations
K and Mg
icf most abundant anions
proteins
when ecf Na is low...
the ecf vol is low
when plasma protein is low
interstitial fluid increases... edema
how much urine is excreted each day
500 ml (2 cups)
metabolic water produced daily?
200-300 ml
body temp when dehydrated?
increases
mild dehydration
5% loss of body weight
severe dehydration
15% + loss of body weight
ascites is
edema in the abdomin
poor turgor (skin slowly returns after pinched) in what kind of hydration?
dehydration
At risk for dehydration
children/infants
elderly
chronically ill
how much water for males per day
3.7 liters
how much water for females per day
2.7 liters
kg method of estimating water needs
35 ml/kg/day
per kcal expended method of estimating hydration:
1 - 1.5 ml/kcal/day

2100 kcal x 1 = 2100 ml
1.5 x 2100 kcal = 3150 ml
per kcal expended method of estimating hydration. limitations?
not for person eating less than 1500kcal per day. (doesn't take into account body size at all)
per kg way of estimating fluid needs. Diff ml depending on age are:
30 ml/kg for older adults
35 for adults
50-60 for children
150 for infants
factors that increases fluid needs 8
Fever
Diarrhea
Vomiting
Respirator
Excessive perspiration
Pressure ulcer (advanced stages)
Nasogastric tube for suctioning
Draining wounds
factors that decrease fluid needs 5
Congestive heart failure
Cardiac disease
Renal disease
Dilutional hyponatremia
Edema or ascites