Term
|
Definition
| braden scale, lower the number: more likely. |
|
|
Term
| epidermal tissue loss, damage to dermis, moist and depressed skin erosion |
|
Definition
|
|
Term
| blood stasis in underlying tissues. reddened skin color, warm to touch, not relieved by massage or pressure relief |
|
Definition
|
|
Term
| full-thickness skin loss, dermal ulceration may extend to subcutaneous layer, serosanguinous or purulent drainage is common |
|
Definition
|
|
Term
| full-thickness skin destruction, ulceration into deeper tissue (fascia, connective tissue, muscle, bone) |
|
Definition
|
|
Term
| what vitamins and minerals should be increased for people suffering from bed sores? |
|
Definition
| C, A, zinc, argenine, glutamine, B-hydroxy-B-methylbutyrate |
|
|
Term
|
Definition
| Insulin like growth factor promotes healing, increases circulation to wound, and polyamines (cell building blocks) |
|
|
Term
|
Definition
| fuel for enterocytes and fibroblasts, preserves lean mass, stimulates growth hormone. |
|
|
Term
| what does B-hydroxyl-B-methylbutyrate do? |
|
Definition
| reduces muscle protein breakdown |
|
|
Term
|
Definition
| increase in lean muscle mass, builds appetite. watch diabetes drugs and anti-clotting |
|
|
Term
| how do you increase RMR with fever? |
|
Definition
| increase 7% for each degree increase above 98.6 |
|
|
Term
| what percent of RMR is used to account for thermic effect of food? |
|
Definition
|
|
Term
| what percent of RMR is used to account for exercise? |
|
Definition
| 10% (bedridden) to 50% (athlete) |
|
|
Term
| what percent of RMR is used to account for exercise? |
|
Definition
| 10% (bedridden) to 50% (athlete) |
|
|
Term
| what is the respiratory quotient? |
|
Definition
| CO2 produced/O2 consumed. it is important for patients with respiratory disease, and can determine if overfeeding. should be around .85 |
|
|
Term
| what does the harris benedict equation use? |
|
Definition
|
|
Term
| what is a good range for activity factors? |
|
Definition
| 1.2 (bedridden) to 2.0 (highly active) |
|
|
Term
| what is a good range for activity factors? |
|
Definition
| 1.2 (bedridden) to 2.0 (highly active) |
|
|
Term
| what is a good range for stress factors? |
|
Definition
| mild infection(1.0) to huge burns (2.0) |
|
|
Term
| what equations are used for RMR? |
|
Definition
| mifflin/st. jeor, harris-benedict, kcals/kg |
|
|
Term
| what is the quick method for calorie estimation? |
|
Definition
kcal/kg:
25-30 (maintenance) to
35-40 (severe stress)
28 is standard |
|
|
Term
| what is an appropriate range of protein? |
|
Definition
| .8 to up to 2 for athletes. as long as no kidney/liver dysfunctions, increase protein if albumin levels are low. |
|
|
Term
| how can you assess fluid requirements? |
|
Definition
1 ml per kcal or energy required.
100 for first 10 lbs
50 for next ten,
20 ml after that
fluid balance model |
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