T3 - Malnutrition Obesity (Josh) Flashcards Preview

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Flashcards in T3 - Malnutrition Obesity (Josh) Deck (33):
1

When is a nutrition screening supposed to be done?

within first 24 hrs of admission

2

What is formula for calculating change in weight?

Usual weight MINUS current weight DIVIDED BY usual weight

then MULTIPLY by 100 for a percentage

3

What is formula for BMI?

Weight (kg) DIVIDED BY height (meters) squared

4

What would be considered significant weight loss?

anything greater than 10 percent within 6 months

5

BMI:

--- is underweight

--- is normal weight

--- is overweight

--- is obese

--- is morbidly obese

less than 18.5

18.5 - 24.9

25 - 29.9

30 or more

40 or more

6

What is PEM (aka: PCM) and how many forms are their?

Protein-Energy Malnutrition (PEM)

or

Protein-Calorie Malnutrition (PCM)

3 Forms:
- Marasmus
- Kwashiorkor
- Marasmus-kwashiokor

7

PEM:

There are three forms.

Which form is a lack of calories where protein and body fat are wasted?

Marasmus

8

PEM:

There are three forms.

Which form has adequate calories, but lacks protein quality and quantity?

Kwashiorkor


***K has the Kalories, but not the protein

9

PEM:

There are three forms:

Which form is a combined protein and calorie (energy) malnutrition?

Marasmus-Kwashiokor

10

What unintentional weight loss is diagnostic for malnutrition?

5 percent or more over 30 days

10 percent of more over 6 mths

11

What lab is best indicator of malnutrition?

Why?

What is normal?

Prealbumin

it has a shorter half life

normal values are 15-36 mg per dL

12

What cholesterol levels are diagnostic for malnutrition?

less than 160

13

What Total Lymphocyte Count indicates malnourishment?

less than 1500

14

What are normal Albumin levels?

3.5 - 5

15

What are normal Prealbumin levels?

15-36

16

What is a symptom of Refeeding Syndrome?

hypophosphatemia

17

What is a contraindication for TEN (Total Enteral Nutrition)?

low BP that isn't perfusing GI tract

18

Why is bacteria a concern with TPN?

you're infusing glucose which bacteria love

19

What should you have ready if you run out of TPN?

10 percent glucose

20

With TPN, what are you doing regularly?

accuchecks

21

Central obesity is measured how?

Waist Circumference

22

What waist circumference is obese?

men: greater than 40

women: greater than 35

23

What is WHR?

Waist to Hip Ratio

0.95 or greater in men is obese

0.8 or greater in women is obese

24

Which shape is more of a risk factor for CV disease?

apple shaped

25

Which obesity med can be used to block the absorption of fat to help you lose weight?

Orlistat

Rx: 120 mg TID
OTC: 60 mg

26

What are the official names for Lab Band surgery?

Laparoscopic Adjustable Gastric Band (LAGB)

or

Laparascopic Sleeve Gastrectomy (LSG)

***people do gain weight back with these

27

What is the official name for Gastric Bypass?

Roux-en-Y Gastric Bypass (RNYGB)

28

What type of surgery is Gastric Bypass?

What type of surgery is Lab Band?

Malabsorption - decreases amount of absorption by limiting stomach space

Restriction - restricts amount of food entering stomach

29

With --- surgery, they will need supplements for the rest of their lives.

Gastric Bypass

30

What is priority care after Bariatric Surgery?

Airway management

Abdominal Binder

Sequential compression or Heparin
Skin Assessment

Absorbent padding

Removal of Foley within 24 hrs

31

What are special considerations after Bariatric Sugery?

Ambulate asap

Monitor abdominal girth

6 small feeds

Prevent Dehydration

Watch for Dumping Syndrome

32

What is Dumping Syndrome?

after bariatric surgery, client gets food too quickly and gets tachycardia, nausea, abdominal cramping, and rapid bowel emptying

33

What are signs and symptoms of Vit A deficiency?

Conjunctival xerosis

Dry skin

Follicular hyperkeratosis

Purple tongue