Nutrition Patient care

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What is primary cause for nutritional risk
- inadequate intake
- (vomiting,sore throat, nausea)
What is the secondary cause for nutritional risk

caused by a disease
Nutritional risk is the potential to become

malnourishesd
Why is nutrition so important in a patient well being

Poor nutrition delays or prevents recovery
Why is there a need for dietary adjustments
- To allow healing
- To prepare for diagnostics
- To prepare for surgery
All long term nutritonal screenings must be completed within

14 days of admission
TJC recquires that the patient be screened within

48 hrs
What is the purpose of nutritional screening

identify characteristics associated with nutrition problems
What is the nutritional status and risk approach
- ABCD
- Anthropometric measurements
- Boichemical test
- Clinical observation
- Diet evaluation
What are the anthropometric measurements
- Height
- Weight
- BMI
- Body measurements
When looking at weight for the anthropometric mesurments what are you looking for
- Stable weight
- Weight changes
When looking at Body measurements for the anthropometric mesurments what are you looking for

Skinfold thickness: subcataneuos fat stores

Mid-upper-arm circumference: skeletal muscle mass(somatic protein)
What is the BMI for an underweight person

BMI<18.5
What is the BMI for an overweight person

25-29.9
What is the BMI for an normal weighing person

18.5-24.9
What is the BMI for an obese person

BMI > 30
Is there a single test for biochemical analysis

no
What should biochemical analysis be used in conjunction with
- anthropometric assessment
- clinical data
- dietary intake assessment
What biochemical test are used for visceral protein analysis
- Serum albumin
- Prealbumin
What biochemical test are used for somatic protein analysis
- Serum creatinine
- BUN
What are visceral proteins

proteins other than muscle tissue(organs, blood)
What are normal Serum albumin levels

3.5-5g/dL
When is serum albumin decerased
- stress
- illness
- bedrest
- trauma
- surgery
Serum albumin is useful for measuring

long-term nutritional changes
What serum albumin level would indiacte possible protein malnutrition

<2.4
What are normal prealbumin levels

16-40g/dL
Prealbumin levels are helpful in monitioring

short-term visceral protein changes
What peralbumin level would indicate a possible visceral protein malnutrition

< 10g/dL
What would cause elevations in Serum creatinine and BUN

muscle is being broken down
What are normal serum creatinine levels

.5-1.2mg/100ml
What are normal BUN levels

10-20mg/ml

Author

tville01

164682

Card Set

Nutrition Patient care

Description

Nutrition Patient care

Updated

2012-08-01T11:46:55Z

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