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Integ Holistic and Nutrition
Integ Holistic and Nutrition
73
Other
Graduate
09/27/2017

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Term
Water
Definition
Vital to healing
30-35 mL of water/kg BW daily
40-60 mL of water/kg BW daily for patient on air fluidized beds
Term
Protein
Definition
Collagen synthesis
Granulation tissue formation
Angiogenesis
Remodeling
Immune function
Term
What % of protein is nitrogen?
Definition
16
Term
How much protein do you need daily?
Definition
1.2-1.5 g protein/kg BW
Term
Carbohydrates
Definition
Primary form is glucose
Provide energy for tissue repair and regeneration
Protein-sparing effect
Term
How much carbs do you need daily?
Definition
30-35 kcal/kg BW
Term
Fats
Definition
Provide a needed energy source when carbs are depleted
Term
Fat soluble vitamins
Definition
ADEK
Term
Water soluble vitamins
Definition
C
B Complex
Term
Vitamin A (RETINOL)
Definition
Maintains healthy skin and epithelial integrity
Required for collagen synthesis, promotes granulation tissue formation, and facilitates epithelialization
Reverse corticosteroids
Increase wound tensile strength
Term
Vitamin C (ABSORBIC ACID)
Definition
Helps body absorb iron
Controls infections and limit damaging free radicals
Limits skin damage
Term
Vitamin K
Definition
Essential for blood clotting
Deficiency lengthens inflammatory phase
Term
B Complex vitamins
Definition
8 vitamins
Immune function and energy metabolism
Aids in WBC, antibody formation, and resists infection
Facilitates fibroblast function
Important coenzymes
Term
Vitamin E
Definition
Prevents free radical damage
Decreases inflammatory phase
Enhances immune function
Decreases platelet adhesion
Term
What are 4 micro minerals?
Definition
Iron
Zinc
Magnesium
Copper
Term
What are 3 macrominerals
Definition
Calcium
Phosphorous
Selenium
THINK ABOUT THE ENERGY GATED VOLTAGE CHANNELS
Term
How much of zinc does the body's skin contain?
Definition
20%
Term
Iron
Definition
Component of hemoglobin
Anemia leads to hypoxia, decreased immune function, decreased cell replication, and decreased wound tensile strength
Term
Copper
Definition
Increases strength of collagen cross links
Deficiencies lead to poor wound healing and decreased immune function
Term
Magnesium
Definition
Co factor in over 300 enzymes systems
Important for bone/protein synthesis
Deficiency found in patients with diabetes, alcohol, chronic diarrhea, or dehydration
Term
Calcium
Definition
Bone formation, remodeling
Muscle contraction
Fibrin synthesis
Important for blood clotting
Term
Phosphorous
Definition
Bone formation
Normal metabolism
Essential for many enzymes systems
Term
Selenium
Definition
Assists with normal immune function
required to make up 30 proteins
Term
Normal BMI
Definition
18.5- 24.9
Term
Obese class 3 BMI
Definition
>40
Term
Severe underweight BMI
Definition
<16
Term
Water deficiency
Definition
Dryness
Poor skin turgor
Increased HR and respirations
Orthostatic hypotension
Sunken eyeballs
Term
Protein deficiency
Definition
Dull, dry hair
Pallor
Peripheral edema
Pressure ulcers
Term
Carb deficiency
Definition
Decline in body weight
Poor dentition
Pallor
Term
Fat deficiency
Definition
Emaciated
Epidermal falsking
fissuring in skin
Dandruff
Term
Vitamin A deficiency
Definition
Night blindness
Gingivitis
Scleral changes
Term
Vitamin C deficiency
Definition
Swollen ums that bleed easily
Transparent skin quality
Weakness
delayed wound healing
Term
Vitamin K deficiency
Definition
Petechaie
Wound bleeds easily
Term
B Complex vitamin deficiency
Definition
Pale eye mebranes
Hyperpigmentation
Mouth sores
Confusion
Muscle cramps
Anemia
Term
Zinc deficiency
Definition
Decreased taste
Seborrhea- dryness/ redness of the face
Dull, dry, thinning hair
Term
Iron deficiency
Definition
Yellow skin
Soft, spoon shaped nails
Easily fatigued
Dyspnea
Anemia
Term
Copper deficiency
Definition
Thinning of hair
Pigmentation changes
Term
Magnesium deficiency
Definition
Dehydration
Neuromuscular hyperexcitability
Confusion
Term
Calcium deficiency
Definition
Skekletal deformities such as kyphoscoliosis
Bone pain
Fx.
Dry scaling skin and hair
Brittle nails
Term
Phosphorus deficiency
Definition
Skeletal deformities
Idiopathic fractures
Bone pain
Term
Selenium
Definition
Decreased ability to fight infection
Muscle pain
muscle wasting
Term
Creatine is a measurement of what two functions?
Definition
Kidney function and protein status
Term
what are normal creatine levels
Definition
0.8-1.5 mg/dL
Term
What is serum albumin?
Definition
Plasma protein produced by liver
Term
What are normal serum albumin levels
Definition
at least 3.5 mg/dL
*low levels correlate with pressure ulcer severity
Term
What is prealbumin
Definition
Major transport protein
Term
What are normal prealbumin levels?
Definition
16-40 mg/dL
Term
What is serum transferrin?
Definition
Sensitive indicator of protein status
Term
What are normal levels of serum transferrin?
Definition
170 mg/dL
Term
Protein sources
Definition
Lean beef, ground beef, anchioves, navy beans, lentils, black bean chips
Term
Iron rich foods
Definition
red meat, beans, dark leafy vegetables, dried fruits, peas
Term
Vitamin A rich foods
Definition
Dairy foods, fish, meat
Carrots, squash, cantaloupe (Orange)
Term
Vitamin K rich foods
Definition
Leafy green vegetables
Brussel sprouts, cabbage, asparagus, broccoli
Term
Vitamin C foods
Definition
Yellow bell peppers, guava, kiwi fruits, strawberries, papaya
Term
Vitamin B complex rich foods
Definition
Shellfish, liver, tofu, fish, crab
Term
Zinc rich foods
Definition
Spinach, kidney beans, lentils, seeds, turkey, lamb, crimini
Term
Copper rich foods
Definition
Bananas, grapes, tomatoes, mushrooms, avocados, potatoes, legumes, lentils, sesame seeds
Term
Magnesium rich foods
Definition
Milk and yogurt
Dark chocolate
Edamame
Avocados
Baked potatoes with skin
Term
Selenium rich foods
Definition
Brazil nuts, cooked oysters, tuna, seeds, lean tenderloin, turkey and chicken
Sun flower seeds
Term
Phosphorus rich foods
Definition
Pumpkin squash seeds
Romano cheese
Salmon
Scallops
Brazil nuts
Tofu
Term
Calcium rich foods
Definition
Blackstrpa molasses
Winged bean and white beans
Term
What is blood urea nitrogen?
Definition
A by product of protein metabolism and is excreted by the kidney
Indicator of renal function
Term
What are normal blood urea nitrogen levels?
Definition
Normal levels are 5-25 mg/dL
Elevated levels are associated with decreased wound healing
Term
What is total lymphocyte count?
Definition
Indirect measure of nutritional status and immune function
Term
What are normal total lymphocyte count levels?
Definition
>1800 mm^3
*decreased TLC is associated with delayed wound healing and mortality
Term
What are normal blood glucose levels?
Definition
70-110 mg/dL
*Increased levels are associated with ulceration and impaired wound healing
Term
What are 3 main causes of malnutrition?
Definition
Lack of knowledge
Poverty
Health problems
Term
How many calories should you have per kg/BW
Definition
1.25-1.5
Term
What vitamins should you take for extensive burns?
Definition
A
C
Zinc
Multivatamin
High calorie, protein, carb, low fat
Term
Compliance
Definition
Implies a one way interaction in which the clinician directs the patient
Term
Adherence
Definition
Implies that the patient freely chooses to follow suggested guidelines

Adherence> Compliance
Term
4 reasons that may cause nonadherence
Definition
Unintentional
Misunderstanding
Forgetfulness
Intentional
Term
What 3 factors affect adherence
Definition
Patient
Task
Clinician
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