Adime Flashcards

1
Q

ADIME

what does each stand for

A

Assess
Diagnose
Intervene
Monitor/Evaluate

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2
Q

Assess

A
ABCD"S 
Anthro's
Biochemical Analysis
Client history
Diet 
Nutrition focused physical findings
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3
Q

4 nutritional screen and surveillance systems

A

Nutrition survey (Cross sectional study)
Nutrition surveillance (ongoing EX: wic)
NSI (elderly) DETERMINE
Focus Group

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4
Q

7 nutritional status and nutrition related measurements

A
PedNSS (for peds)
PNSS (pregnancy, counts BF moms)
NHANES 
USDA nationwide food 
KNOWLEDGE
HEALTH AND DIET SURVEY
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5
Q

Diagnose

A

what is patient at risk for

PES statement is created

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6
Q

PES statement

A
Problem
 (as related to) 
Etiology
 (as evidenced by) 
Signs and Symptoms
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7
Q

Intervention

A

based on the diagnosis, try to fix something

primary, secondary, tertiary preventions

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8
Q

knowledge

BRFSS
YRBSS

A

BRFSS: asks about behavior, smoking drinking

YRBSS: Youth

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9
Q

NHANES

A

ongoing program for clinical, chemical and anthro’s, 24 hr recall.
EX: anemia in elderly

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10
Q

USDA nationwide food consumption survey

A

evaluates 7 nutrients

You have to meet 66% to be considered normal and not poor

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11
Q

Primary prevention

A

no disease, education, awareness, vaccinations

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12
Q

Secondary prevention

A

pre-disease, screening to detect, regular exercise

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13
Q

tertiary prevention

A

Disease, rehab programs, chronic disease management, prevent death, teach to manage condition
EX: support group to cancer patient

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14
Q

TANF

A

temporary assistance for needy families

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15
Q

USDA Commodity food donation

A

monthly, low income women, infant
children up to (6)
can’t be a part of WIC if in this program

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16
Q

TEFAP

A

Emergency food program

limitation, caters to homeless shelters

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17
Q

NSLP

A

Entitlement program
1/3 protein, vit A, C, iron and CA provided
2oz meat per serving

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18
Q

WIC

A

not an entitlement program

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19
Q

NSBP

A

National school breakfast program
Entitlement
1/4 daily need must be provided

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20
Q

CACFP

A

child and adults care program for day care centers

21
Q

FFVP

A

for children to learn

22
Q

SNAP

A

USDA
Entitlement
Low income and has nutrition education

23
Q

Maternal and child health block grant

A

Title 5,

child- has 5 letters

24
Q

healthy start

A

healthy start- chance to start healthy, reducing infant mortality

25
NSIP
Title 3 old American act think 3 1 hot meal a day, 5x a week- 1/3 daily needs
26
medicare
A: hospital, hospice B: primary care above 65 and pt's with ESRD
27
headstart
3-5 low income children | have to participate
28
Sodium low high Best used for
136-145 meq/l low: over hydration: edema, cirrhosis High: dehydration: burns, thirst, diarrhea best used for: best assessment for fluid status
29
Potassium levels: Low High: Best for:
3.5-5 meq/L (There for 3-5 bananas in a bunch) Low: refeeding syn, insulin, high: dialysis, metabolic acidosis, can cause heart attack Very important in Dialysis- short term goal to have consistent normal K levels
30
Phosphorus levels Sources Low High
3.0-4.5 mg/dl Dairy, beans, junk food as an additive. Low: renal disease, TUMS High: not enough binders, high phos diet
31
Calcium Levels RDA
9-11 (call 911) RDA- 1300 teen pregnant 1000-1200 adults
32
BUN Levels
10-20 mg/dl (a hamburger BUN is between $10-$20.
33
BUN Levels
10-20 mg/dl (a hamburger BUN is between $10-$20. | evaluates kidney function and hydration status
34
Serum Creatinine levels measure: High?
0.6-1.4 mg/dl if CR is high BUN will be 3x higher measure somatic proteins and how well kidneys are functioning. high: renal dysfunction
35
BUN: CR Ration
tells us about kidney function | Elevated: pts with acute renal, or CHF
36
Serum Albumin
long term: does not reflect current protein intake 3.5-5 useful in long term and overall health
37
Which to tell renal function best
Serum Creatinine
38
Pre-Albumin
16-40mg (called transythyretin) will be low during inflammation not useful in screening for protein status
39
Pre-Albumin
16-40mg (called transthyretin) will be low during inflammation not useful in screening for protein status
40
Serum Transferrin
transfers iron to bone marrow low with liver disease high with iron deficiency reflects iron and current protein status
41
Hematocrit
used for checking anemia with HG
42
Hemoglobin
F: 12-15 M: 14-17
43
What Decreases in inflammation
Albumin Pre Albumin Transferrin
44
Increases in Inflammation
CRP( c-reactive protein) | serum ferritin
45
ferritin
the storage form of iron and is the best assess for iron status
46
Clinical domain
NC Nutrition findings or problem related to medical or physical condition. Ex: swallowing difficultly, alerted GI function
47
Intake domain
NI actual problems related to intake, Ex: calories, fluids
48
Behavioral environmental
NB | problem related to knowledge, access to food and food safety
49
during inflammation what lab values decrease
albumin, pre albumin | transferrin