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26 Cards in this Set

  • Front
  • Back
Critical thinking skills include
Observe verbal/nonverbal cues
Determine appropariate data to collect
Select tools & procedures and apply in valid, reliable ways
Validate, organize and categorize data
Documentation of Nutrition Asessment
Pertinent data with comparison standards
Partions perceptions, values and motivation related to problem
Changes in patients understandings, behaviors and outcomes
Triceps Skinfold Thickness - TSF
measures body fat reserves
measures calorie reserves

Male: 12.5mm
Female: 16.5mm
Arm Muslce Area - AMA
measures skeletal muscles (somatic protein)

Important for growing children
Possible Protein/Energy Malnutrition

Male: 25.3cm
Female: 23.2cm
Body Mass Index - BMI
Weight to height
Health for adults 18.5 - 24.9
Healthy for Elderly 24 - 29
Waist to Hip Ratio
1.0 or greater in Men
0.8 or greater in Women

Increased risk of obesity-related diseases
Waist Circumference
<40 Males
<35 Females

independent risk factor for disease when accompanied by total body fat (BMI)
Nutrition Focused Physical Exam

IF thin, sparse, dull dry

COULD BE: chemotherapy, vitamin C protein Deficiency
Nutrition Focused Physical Exam

Protein Deficiency
Nutrition Focused Physical Exam

IF: pale, dry, poor vision

COULD BE: vitamin A, zinc or riboflavin deficiencies
Nutrition Focused Physical Exam

IF: swollen, red, dry, cracked

COULD BE: riboflavin, pyridoxine, niacin deficiencies
Nutrition Focused Physical Exam

IF: smooth, slick, purple, white coating

COULD BE: Vitamin or Iron deficiencies
Nutrition Focused Physical Exam

IF: sore, red, swollen, bleeding

COULD BE: Vitamin C deficiency
Nutrition Focused Physical Exam

IF: missing, loose, loss of enamel

COULD BE: Calcium, deficiency or poor intake
Nutrition Focused Physical Exam

IF: pake, dry, scaly

COULD BE: iron, folic acid and zinc deficiency
Nutrition Focused Physical Exam

IF: birtle, think, spoon-shaped

COULD BE: iron or protein deficiency
Serum Albumin
3.5 - 5 g/dl Visceral (blood organ) protein

High in dehydration
Serum Transferrin
>200 mg/dl Visceral protein

Shorter half life than albumin

Rises with Iron deficiency
Deteremined from TIBC
TTHY Transthyretin, PAB (prealbumin), Retinol-Binding Protien RBP
19 - 43 mg/dl
Visceral protein with short half lifes (2-3 days)

Transthyretin best for evaluation protein status
Volume of packed cells in whole blood

Men 44%
Women 38%
Pregnant 33%
Iron-containing pigment of red blood cells

Men 14 - 17 gm/dl
Women 12 - 15 gm/dl
Pregnant <11
BUN - Blood Urea Nitrogen
10 - 20 mg/dl
related to protein intake
Indicator of renal Disease

Renal patient should be less than 100
Serum Creatinine
0.6 - 1.4 mg/dl

Related to muscle mass (somatic protein)
May indicate muscle wastage or renal disease
Urinary Creatinine Clearance
Measures GFR
Total Lymphocyte Count - TLC
2000 - 3500 cell/cu mm
Measures immunocompetency
C-Reactive Protein
Maker of acute infalmmatory stress
As it declines, Nutritional therapy is beneficial