Applied Nutrition Flashcards
(39 cards)
What equation is used to predict BEE?
Harris Benedict Equation
When should more calories be given?
- peritonitis
- trauma
- sepsis/ multiple traumas
- burns
When should more fluids be given?
- gastric losses
- wound drainage
- Ileostomy drainage
What medications lead to increased electrolyte requirements?
Diuretics
Cisplatin
Amphotericin B
What are causes of GI losses?
- nasogastric suctioning
- vomiting
- high ostomy or fistula output
- diarrhea
When should sodium be decreased?
- HF
- edema
- corticosteroids
When should potassium, phosphorous, and sodium be decreased?
renal dysfunction
Why is it difficult to have toxicity from water-soluble vitamins?
extensively renally cleared
What is the cause of Wernicke’s?
B1 (thiamine deficiency)
What is the dosage regimen for treatment of wernicke’s?
500mg TID for 3 days
What does thiamine deficiency in infants lead to?
beriberi –> HF
What are complications of B2 (riboflavin) deficiency?
- mucositis, cheilosis
- photophobia, night blindness
- decreased tearing (infants)
- birth defects (cleft lip, transverse limbs)
What are complications of B3 (niacin) deficiency?
- pellagra (raw skin)
- digestive system
- nervous system (disorientation/ memory loss)
What can induce vitamin B3 deficiency?
chronic Isoniazid use
What are complications with B6 (pyridoxine) deficiency?
- limb numbness/ weakness
- confusion
- irritability
- seizures
- glossitis
- cheilosis
- dermatitis
What are causes of B6 deficiency?
- atrophic gastritis
- alcohol abuse
- liver dysfunction
- RA
- sickle cell
- celiac
- Isoniazid
What vitamin deficiency is always checked with worsening mental status in the elderly because presentation is identical to Alzheimers/dementia?
vitamin B12 (cyanocobalmin) deficiency
How is B12 deficiency monitored?
Acute: high MCV, B12 level
Chronic: methylmalonic acid, homocystine
What should be done if a patient cannot absorb B12?
- give intrinsic factor
- SL instead of oral
What does folic acid deficiency cause?
- megaloblastic anemia
- diarrhea
- neural tube defects
What can cause folic acid deficiency?
- alcohol use
- diuretics
- phenytoin
- sulfasalazine
- methotrexate
What are complications of Vitamin C deficiency?
- fatigue
- muscle pain
- infections
- decreased wound healing
- gingivitis
What is needed to absorb fat-soluble vitamins?
bile
What are complications of vitamin A deficiency?
- xerophthalmia –> Bitot’s spots
- night blindness
- infections