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diet final
diet chapter 20
59
Nursing
Undergraduate 3
05/01/2010

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Term
most frequent approach in assessing CAD risk is measuring __ and proportions of blood __
Definition
cholesterol
lipoproteins
Term
plasma lipid profile measures
Definition
LDL, VLDL, HDL
Term
VLDL
Definition
very low-density lipoprotein
10 to 15% of total serum cholesterol
Term
VLDL
Definition
very low-density lipoprotein
10 to 15% of total serum cholesterol
Term
LDL
Definition
low-density lipoprotein
60 to 70% of serum cholesterol
below 100mg/dl optimal
Term
HDL
Definition
high-density lipoprotein
20 to 30% serum cholesterol
50mg/dl optimal
Term
triglycerides
Definition
most common type of fat found in body
Term
sources of triglycerides
Definition
foods, liver makes from carbs, alcohol and some cholesterol
Term
serum triglyceride levels range
Definition
50-250mg/dl
Term
factors that may cause triglyceride levels to be elevated
Definition
overweight, physical inactivity, cigarette smoke, excess alcohol, high carb intake, other diseases, certain drugs, genetic factors
Term
NCEP ATP II emphasizes __ as primary target for cholesterol-lowering therapy
Definition
LDL cholesterol
Term
elevated ___ levels factor to ID people at risk for CAD
Definition
serum tirglyceride
Term
dyslipidemia
Definition
three lipid abnormalities
-elevated triglycerides, small LDL particles, and low HDL cholesterol
Term
characteristics of people with atherogenic dyslipemia
Definition
obesity, abdominal obesity, insulin resistance and physical inactivity
Term
fixed risk factors for CAD
Definition
increasing age, male gender, family history of premature CHD
Term
modifiable risk factors for CAD
Definition
hypertension, cigarette smoke, diabetes, obesity, physical inactivity, atherogenic diet (high fat)
Term
nutritional therapy for CAD
Definition
reduce saturated fats and cholesterol, lowering LDL, weight reduction, increased physical activity
Term
saturated fat below __% of total energy intake
cholesterol below __mg/day
Definition
7
200
Term
for every __% kcal of saturated fats increases LDL increases __%
Definition
1
2
Term
monounsaturated fat
Definition
eat this instead of saturated fats up to 20% of total energy intake
avocado, canola oil, almonds, peacans
Term
polyunsaturated fats
Definition
reduces LDL levels
veggie oil, corn, sunflower and safflower oil, walnuts, mayo, salad dressing
Term
saturated fats and trans fatty acids __ LDL cholesterol levels
Definition
increase
Term
replacing saturated fats with __ decreases LDL
Definition
carbs
Term
very high intakes of carbs associated with:
Definition
reduction of HDL cholesterol, increase in serum triglyceride
Term
increasing soluble fiber to __ to __ per day accompanied by roughly __% reduction in LDL cholesterol
Definition
5 to 10
5%
Term
substituting __ based proteins for __ proteins decreases LDL cholesterol
Definition
plant
animal
Term
hypertension
Definition
a cardiovascular disease and a risk factor for CAD
average systolic - above 140 and diastolic - above 90
one in every three adults has hypertension
Term
conditions that are possible cause of secondary hypertension
Definition
renal insufficiency, renovascular disease, ch=ushing's syndrome, primary aldosteronism
Term
first line of treatment for hypertension
Definition
nonpharmacologic - instead try lifestyle changes of losing weight, etc.
Term
other lifestyle modifications for people with hypertension include:
Definition
decrease alcohol consumption, increase physical activity, terminate cigarette smoking, decreasing sodium intake, increasing dietary intake of k+, Mg, Ca
Term
average daily sodium intake in us estimated __ to __g
dietary sodium comes form mostly
Definition
4
6
processed foods, table salt
Term
diet rich in __ is used to stop hypertension (DASH)
Definition
fruits, veggies, and low-fat dairy
with reduced saturated and total fats
Term
MI
Definition
myocardial infarction
occlusion of a coronary artery
sometimes called a heart attack
Term
single largest killer of adult men and women in us
Definition
MI
Term
nutrition therapy for MI
Definition
smaller, frequent meals
restrict caffeine
control sodium, cholesterol, fat, kcal
eat omega-3-reduces blood clots
Term
CHF
Definition
cardiac failure, depends on ventricle involved
Term
left ventricular failure results in
Definition
pulmonary congestion
Term
right ventricle failure results in
Definition
systemic congestion
-causing poor perfusion of all organ systems
Term
mild CHF nutriton therapy
Definition
sodium restriction of 3000mg/day
Term
severe CHF nutrition therapy
Definition
2000mg/day sodium restriction
-fluid restriciton of 1 to 2 L
Term
barriers to meeting increased nutrient and energy requirements for those with CHF
Definition
early satiety, GI congestion, shortness of breath, anorexia and nausea
Term
energy requirements for those with CHF
Definition
may be 20% to 30% above basal needs
Term
cardiac cachexia
Definition
general ill health and malnutrition, marked by weakness and emaciation
Term
a desirable serum total cholesterol level
Definition
below 200mg/dl
Term
COPD
Definition
chronic obstructive pulmonary disorder
collective phrase for chronic bronchitis, asthma, and emphysema
Term
second leading cause of disability in us
Definition
COPD
Term
goal of nutrition therapy for COPD
Definition
maintain respiratory muscle strength and funciton
Term
RDS
Definition
respiratory distress syndrome
Term
ARF
Definition
acute respiratory failure
Term
COPD contributing factors
Definition
altered taste, fatigue, anxiety, depression, increased energy requirements, frequent infections, side effects of multiple medications
Term
common symptoms of COPD
Definition
anorexia, early satiety, nausea, vomiting
Term
nutrition therapy for COPD:
__kcal/kg
__-__g protein/kg for maintenance
Definition
25-45
1.2-1.9
Term
RQ
Definition
ration of carbon dioxide produced to amount of oxygen consumed
Term
produces highest RQ
Definition
carb metabolism - produces highest amount of CO2
Term
produces lowest RQ
Definition
fat metabolism - produces least amount of CO2
Term
RQ greater than __ evidence of accumulating CO@
Definition
1
Term
overfeeding produces excess
Definition
amounts of CO2
Term
almost half of all patients with ARF suffer from
Definition
malnutrition
Term
most patients in ___ require mechanical ventilation
Definition
ARF
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