MICRONUTRIENT DEFICIENCY Flashcards

(54 cards)

1
Q

vision, maintenance of healthy skin cells, growth and development, fights infections, boosts the immune system

A

VITAMIN A
(retinol)

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2
Q

5 Vitamin A deficiencies

A
  1. Night blindness
  2. Bitot’s Spots- foamy whitish lesions found in the cornea
  3. Corned ulceration / scarring
  4. Scaly and dry skin
  5. Xeropthalmia- inability to produce tears
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3
Q

Vitamin A rich foods

A
  1. Yellow or orange fruits and vegetables: squash, carrots, papaya, mangoes
  2. Some green vegetables: Alugbati, spinach, malunggay, kangkong, saluyot, kamote tops
  3. Animal sources: eggs, chicken meat
  4. Processed foods: cheese, fortified milk
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4
Q

Vitamin A supplementation
Children every?

A

6 months

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5
Q

Vitamin A dosage Children 6-11 months

A

100,000 IU [blue color]

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6
Q

Vitamin A dosage Children 12-71 months

A

200,000 IU [red color]

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7
Q

when not to give Vitamin A?

A
  1. During 1st Trimester [organogenesis is developing, more Vitamin A maay lead to embryonic fetal defect and abn. fetal development]
  2. During 4 months when the mother is already taking Vitamin A
  3. Postpartum do not give within 4 weeks [to prevent teratogenic effects]
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8
Q

when should Vitamin A be given?

A
  1. Pregnant mother [2x/week] = 10,000 IU
  2. At 4 moths when the mother is not yet taking Vitamin A
  3. Within 6-8 months postpartum and the involution has returned = 200,000 IU
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9
Q

Example of STAPLE FOODS covered in the Philippine Food Fortification Program (Food Fortification Law) or the RA 8976

A
  1. RICE w/ Iron
  2. SUGAR w/ Vit. A
  3. COOKING OIL w/ Vit. A
  4. FLOUR w/ Iron & Vit. A
  5. SALT w/ Iodine
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10
Q

Example of PROCESSED FOODS covered in the Philippine Food Fortification Program (Food Fortification Law) or the RA 8976

A
  1. Noodles
  2. Snacks
  3. Foods
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11
Q

Look for when looking for fortified food items.

A

SANGKAP PINOY SEAL PROGRAM

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12
Q

Food Fortification Law

A

RA 8976

Mandatory fortification of processed foods: noodles, snack foods w/ iron and vit. A

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13
Q

When looking for fortified food items look for

A

SANGKAP PINOY SEAL

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14
Q

SANGKAP PINOY RICH FOODS PREVENT P-V-I-I

A

Deficiency in
1. Protein,
2. Vit A,
3. Iron and
4. Iodine

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15
Q

Use in the production of hemoglobin, a protein component of RBCs that carries oxygen.

A

IRON

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16
Q

Deficiency in Iron is called?

A

10 Anemia

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17
Q

s/sx of Iron Deficiency

A
  1. fatigue
  2. SOB
  3. pale skin
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18
Q

Total Iron loss during pregnancy

A

500mg

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19
Q

Average monthly blood loss and iron loss

A

45mL blood; 22mg iron

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20
Q

Daily iron loss

A

1mg / daily

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21
Q

ANEMIA ASSESSMENT

Iron Deficiency:
1. VIRSON PLUMMER’S SYNDROME

A

a. Stomatitis
b. Dysphagia
c. Atrophic Glossitis [rough and sore tongue]

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22
Q

Iron Deficiency: 2.CHEILOSIS

A

dry cracked lips

23
Q

Iron Deficiency: 3.KOILONYCHIA

A

spoon-shaped finger nails/concave

24
Q

Iron Deficiency: 4.PICA

A

craving of non-edible substances

25
6.TINNITUS
ringing in the ears
26
6.CARDIOVASCULAR
-SOB -Tachycardia -Chest pain
27
IRON RICH FOODS
1. red meat 2. beans 3. legumes 4. fortified cereals 5. whole grains 6. fortified grain products 7. egg yolk 8. organ meats 9. green leafy vegs 10. raisin 11. dried fruits
28
Ferrous sulfate when should be taken?
After meals to prevent ulcer/ GI upset
29
Ferrous Glutamate when should be given?
Before meals, does not cause GI upset
30
Parenteral management DOC?
IRON DEXTRAN aka INFERON
31
INFERON / IRON DEXTRAN
-via z-track method to prevent permanent straining of the skin - don't massage injection site to prevent leakage into the skin tissue
32
NI for ORAL LIQUID IRON
-use straw prevent staining -dont admin with tea, milk, antacid [prevent iron absorption] -vit c to increase iron absorption -color of stool- black is normal -iron causes constipation, must increase OFI
33
Thyroid uses iodine to produce
T3, T4, Calcitonin
34
basal metabolic rate
T3
35
body heat regulation
T4
36
inhibit Calcium absorption
Calcitonin
37
everything is high and fast
Hyperthyroidism- Hypocalcemia
38
everything is low and slow
Hypothyroidism- Hypercalcemia
39
5 results of Iodine deficiency
1. Goiter 2. Cretinism [child], Myxedema [adult] 3. Birth defects 4. Cleft palate 5. Malnutrition/ Mental retardation | Normal IQ= 90-110
40
iodine rich food
1. iodized salt 2. saltwater fish 3. seafood 4. milk 5. cheese 6. egg 7. yogurt 8. fortified grain products
41
2 capsules of iodine must be taken per month to prevent
Iodine Defeciency Cretinism / Myxedema
42
Salt Iodization Law [ASIN LAW]
RA 8172 | Approved on Dec. 20, 1995 by Fidel V. Ramos
43
Characterized by severe deficiency of protein in children, fluid retention, swelling of extremities and abdominal distention
KWASHIORKOR
44
characterized by severe deficiency of ALL nutrients and insufficient intake of calorie
MARASMUS
45
best sources of PROTEIN
1. Fish 2. Lean meat 3. Libido 4. Rice
46
Vit C def
Scurvy [bleeding of gums]
47
Vit D def
Adult- Osteomalacia Children- Rickets | joint pain and softening of bones
48
Vit E def
Ataxia [uncoordinated body movements and mild hemolytic anemia where RBCs are destroyed]
49
Vit K def
bleeding tendencies
50
B1
THIAMINE | BERI-BERI [diff. of walking, paralysis of extremities]
51
B2
RIBOFLAVIN | Cheilosis/ Stomatitis
52
B3
NIACIN | Pellagra: dark scaly skin rash
53
B6
PYRIDOXINE | dermatitis, glossitis, microcytic anemia [small RBCs- insufficient hgb]
54
B12
COBALAMINE | Pernicious Anemia [red-beefy tongue]