Nutrition Flashcards

(67 cards)

1
Q

3 macronutrients

A

Carbohydrates(碳水化合物), proteins, lipids

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2
Q

MyPlate includes?

A

Fruits, grains, veggies, protein, and dairy

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3
Q

Carbohydrates main uses?

A
  1. Primary energy source for the body
  2. Energy for muscle and organ functions
  3. Sugars!
  4. Increase insulin secretion
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4
Q

What happens when glycogen (糖原) level decreases in the body?

A

Protein becomes the main source of energy, and while it’s doing this, it can’t do its primary function

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5
Q

Proteins main uses?

A

Tissue building

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6
Q

What do macronutrients do?

A

Supply energy for the body

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7
Q

What do micronutrients do?

A

Help manufacture, maintain, and repair cells

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8
Q

Can body make vitamins?

A

No

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9
Q

What do vitamins do?

A

Build and maintain tissues, support immune system, ensure good vision, help body break down and use energy in carbs, proteins, and lipids.

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10
Q

What is calorie imbalance?

A

Calorie in not equal to calorie out

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11
Q

Undernourished

A

Too few calories/nutrients

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12
Q

What does too many calories lead to?

A

Obesity

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13
Q

What is Basal Metabolic Rate (BMR)(基础代谢率)?

A

Amount of energy required when at rest

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14
Q

Total energy needs:

A

Replacing calories used for BMR and physical activities

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15
Q

Relationship between temp and BMR?

A

Temp increases 1°F, BMR increases 7%.
When cold outside, BMR increases b/c body trying to produce heat

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16
Q

DASH diet?

A

To reduce hypertension.
low in salt and rich in fruits, vegetables, whole grains, low-fat dairy, and lean protein(瘦肉蛋白)

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17
Q

What is linked to iron deficiency?

A

Low vitamin C b/c they help bind to each other.
Low vitamin C can be caused by oral contraceptives, smoke, etc.

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18
Q

What can caffeine cause?

A

Bone loss, but can add milk to coffee to prevent that, not sure about energy drinks

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19
Q

High dose of caffeine can cause?

A

Upset stomach and anxiety

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20
Q

Low hemoglobin means?

A

Inadequate iron intake and chronic blood volume loss

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21
Q

What does blood glucose indicate?

A

Amount of fuel available for cellular energy.
Higher level than normal triggers the release of insulin, which causes glucose to move into body cells and store in the liver and muscle.
Lower level than normal triggers the release of glucagon, leads to the release of glucose from storage.

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22
Q

Serum albumin (血清白蛋白) indicates?

A

Indicates protein stores.
Synthesized in the liver.
60% of total body protein.
Low levels b/c of malnutrition, malabsorption, acute and chronic liver disease, and repeated loss of protein through burns, wounds, etc.
Half-life: 18-21 days.
Not the most accurate measure b/c it’s affected by fluid status.

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23
Q

Prealbumin(前白蛋白)

A

Fluctuates daily, so it’s considered a better marker for acute changes in nutritional status.

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24
Q

Creatinine(肌酐)

A

Indicates renal function.
Increased levels may indicate impaired kidney function or loss of muscle mass.

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25
Globulin(球蛋白)
Forms backbone of hemoglobin (antibodies, glycoproteins, lipoproteins, clotting factors, and variety of key enzymes). Low level indicates insufficient protein intake or excessive protein loss.
26
Normal BMI level for adults
18.5-24.9
27
What's BMI for obesity?
>= 30
28
Nutritional imbalance intervention: enteral nutrition
Tube feeding, deliver nutrition directly into GI tract. (make sure you monitor and verify the tube placement!!!) Monitor skin conditions and blood values, risk for high glycemia(高血糖). Check residual Q4-6.
29
Intracellular body fluids
40% of body weight, aids in metabolism Ex: K, Mg
30
Extracellular body fluid: interstitial
Between body cells, ex: edema
31
Extracellular body fluid: intravascular
Plasma within blood, transfer blood cells
32
Extracellular body fluid: transcellular
Ex: synovial fluid
33
Which part of the brain tells you you are thirsty?
Hypothalamus
34
Antidiuretic hormone (ADH) do what to the kidneys?
Cause kidneys to retain fluids.
35
What does thyroid hormone do?
Increase cardiac output. Increase glomeruler filtration rate (GFR).
36
Extracellular body fluids
20% of body weight. Ex: Na, Cl
37
What does Na do?
Regulates fluid volume. Kidneys reabsorb Na. Adults: 2300 mg salt/day
38
What does K do?
Metabolism. 4700 mg/day. Kidneys eliminate K.
39
What does Ca do?
Help with bone health, neuromuscular and cardiac function. Insufficient leads to osteoporosis. 99% in bone and teeth, 1% in blood. Central factor in blood clotting. Serum level drop, Ca from bones transfer into blood to compensate(补偿).
40
What does Mg do?
Mineral used in bones. 1% in blood, 99% divided between bone and intracellular fluid. Low Mg linked with high alcohol intake.
41
Cl
Usually bond to other ions (Na, K) Adult: 2.3 g/day, along with 1.5 g Na to replace daily losses and maintain serum blood levels.
42
Phosphate (PO4)
Intracellular fluid. Phosphorus combine w/O2 to form PO4. Bond with Ca in teeth and bones. Inverse relationship with Ca.
43
Bicarbonate (HCO3)
Both ICF and ECF. Kidneys regulate the ECF to maintain pH balance.
44
Normal pH range
7.35-7.45
45
Hypovolemia?(血容量不足)
ECF lose fluid and electrolytes. Deficit fluid volume, dehydrated. Dry skin/mucous membranes, poor skin turgor, decrease urine output, hypotension, tachycardia, rise in temp, increase BUN and creatinine ratio.
46
Hypervolemia?(血容量过多)
Fluid overload. Bp increase, bounding pulse, pale and cool skin, edema, crackles in lungs, resp rate fast and shallow. Poor pumping action of heart.
47
Sodium high and low
Hypernatremia: renal failure Hyponatremia: diuretics, diarrhea
48
Potassium high and low
Hyperkalemia: renal disease Hypokalemia: major trauma
49
Calcium high and low
Hypercalcemia: prolonged demobilization Hypocalcemia: decrease in vitamin D
50
Magnesium high and low
Hypermagnesemia: kidney impairment Hypomagnesemia: chronic alcoholism, malabsorption
51
Phosphorus high and low
Hyperphosphatemia: renal failure Hypophosphatemia: refeeding after starvation
52
Respiratory acidosis
pH low, PCO2 high. Hypoventilation, dizziness, weakness, hyperkalemia (can cause dysrhythmias), low bp, skin pale
53
Respiratory alkalosis
Hyperventilation, muscle cramping, seizures, high anxiety and irritability, tachycardia, low or normal bp, hypokalemia, numbness and tingling of extremities.
54
Metabolic acidosis
pH low, HCO3 low. Low bp, hyperkalemia, muscle twitch, warm/flushed skin (vasodilation), NVD, confusion.
55
Metabolic alkalosis
Restlessness followed by lethargy, tachycardia, confusion, NVD, muscle cramps
56
What to do about supplements?
They are meds so should be reviewed as treatment plan
57
How should pt take potassium supplement?
With juice b/c of bad taste. Some salt substances contain K, so risk of excess potassium.
58
IV for: Isotonic,(等渗) Hypotonic,(低渗) Hypertonic.(高渗)
1. Go in blood vessels and stay there 2. Pull body water from vascular to interstitial. Pt w/increased intracranial pressure should NEVER receive this!!! 3. Pull fluid from interstitial to intramuscular. Stabilize bp, treat edema.
59
Can you use a butterfly needle for IV?
No!
60
What are butterfly needles used for?
Drawing blood b/c needle stays in so increase infiltrate
61
Can LPNs administer blood?
No!
62
Normal range of PCO2
35-45
63
Normal range of HCO3
22-26
64
Where are glucose stored in?
Liver and skeletal muscle tissue. Stored in them as glycogen.
65
Glycogenolysis
When the glycogen in liver and skeletal muscle tissue convert back into glucose to meet energy needs
66
What is ketone and what does it do?
Ketone: alternative fuel that was converted from fat. Ketone rise acidity of blood, so pH get lower, can create pH imbalance
67
Lipids at room temp:
Fats: solid (butter) Oil: liquid Don't mix them up!