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Internal Medicine - nutritional d/o
internal med
7
Health Care
Graduate
08/07/2011

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Cards

Term
best test of nutritional status
Definition
Prealbumin
Term
t1/2 of palb
Definition
4-7d
Term
werneke's s/sx, etiology
Definition
Thiamine def
1. confusion
2. ataxia
3. nystagmus
with confabulations = korsakoff's
Term
acid/base status in wernekes/korsikoff
Definition
met acidosis and resp alkalosis - met alk d/t
Term
why must you give thiamine before glucose in treatment of wernekes
Definition
thiamine is major player in TCA, giving glu will use up remaining stores of thiamine and worsen the condition. also glu before thiamine will increase cell death by increasing the amount of anaerobic metabolism.
Term
recommedations for osteoporosis tx
Definition
1200-1500mg Ca++/day + 400-800IU Vit D/day. Ca++ only absorbed 500mg at a time
Term
which pts would need a protein restriction and why?
Definition
CRF and Hepatic Enceph pts need <40-60gm/d of protein due to ammonia loads
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