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Final Exam NUTR 339 - Final Exam NUTR 339 1 Know where the...

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Final Exam NUTR 339 1 . Know where the information for nutritional assessments comes from Information comes from the patient or the family (primary source), patient’s medical chart, oral or written communication with hospital staff, and relates research - includes the ABCD approach: A: anthropometrics (age, gender, height, weight, body frame, body composition) B: biochemical tests (plasma proteins, liver enzymes –page323 in book--) C: clinical observations (Pay attention to physical signs of malnutrition, Physical data: pulse, respiration, temp, BP, Biochemistry) D: dietary evaluations (24 hour food record, Diet history,Periodic food records (3-7days) 2 . Know what serum albumin/prealbumin are indicative of, which is more sensitive and why? decrease is indicative of malnutrition and prealbumin is more sensitive because it has a shorter half life than albumin and is a sensitive indicator of any change affecting protein synthesis and catabolism 3. Know what population is most at risk for food/drug interactions and why More common in the elderly because: More meds for longer duration More serious conditions require stronger meds Respond to drugs with greater variability Handle drugs less efficiently Errors in self-care 23% Women, 19% Men 5 or > meds/week 4. know what mineral deficiency can cause a change in taste acuity zinc 5. know the food/drug interactions of MAOI, tetracycline, and Coumadin MAOI: food or alcoholic beverages containing tyramine (red wine, cured meats like sausage and salami, avocados)—there are a lot of foods MAOIs interact with that have tyramine Tetracycline: decreased drug absorption Coumadin: vitamin depletion 6. know which drugs may decrease and increase appetite and the nutritional implications Increase appetite: antihistamines, anti-anxiety meds, tricyclic antidepressants, steroids, insulin
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Decrease appetite: amphetamines, alcohol 7 . Know the difference between enteral and parenteral nutrition enteral nutrition -- A form of nutrition that is delivered into the digestive system as a liquid. Drinking nutrition beverages or formulas and tubefeeding are forms of enteral nutrition. People who are unable to meet their needs with food and beverages alone, and who do not have vomiting or uncontrollable diarrhea may be given tubefeedings. Tubefeeding can be used to add to what a person is able to eat or can be the only source of nutrition. A small feeding tube may be placed through the nose into the stomach or the small intestine, or it may be surgically placed into the stomach or the intestinal tract through an opening made on the outside of the abdomen, depending on how long it will be used. Parenteral nutrition- A form of nutrition that is delivered into a vein. Parenteral nutrition does not use the digestive system. It may be given to people who are unable to absorb nutrients through the intestinal tract because of vomiting that won't stop, severe diarrhea, or intestinal disease. It may also be given to those undergoing high-dose chemotherapy or radiation and bone marrow transplantation. It is possible to give all of the protein, calories, vitamins and minerals a
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