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Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher/
39 - Nutritional ProblemsAce Your Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Registered Nurse (RN) Students
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Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher | Registered Nurse (RN) School Study Aid
Therapeutic Diets
- Common Therapeutic Diets
- High Fiber
- Low Residue (Fiber)
- Low Sodium
- Low Cholesterol
- Diabetic
- Renal
- Dysphagia
- Nursing Considerations
- Diet Education
2 mins
Kwashiorkor
- Protein Deficiency
- Swollen Belly
- MEALS
- Malnutrition
- Edema
- Anemia
- Liver Malfunction
- Skin Lesions
2 mins
Marasmus
- Deficiency of all Nutrients
- Body Weight < 60% of Normal
- Tissue and Muscle Wasting
- Loss of Subcutaneous Fat (Buttocks and Thighs)
- Variable Edema
2 mins
Ergocalciferol (Vitamin D2)
- Mechanism
- Vitamin D2
- Indications
- Hypoparathyroidism
- Rickets
- Hypophosphatemia
- Side Effects
- Fatigue
- Constipation
- Hypercalcemia
- Kidney Stones
2 mins
Vitamin B1 (Thiamine)
- Mechanism
- Carbohydrate Metabolism
- Indications
- Dietary Deficiency
- Beriberi
- Wernicke-Korsakoff
- Considerations
- Alcoholics Highest Risk
- Give Before Glucose
- Give IM or IV
- Enriched Whole Grains
- Pork
2 mins
Vitamin K1 (Phytonadione)
- Mechanism
- Synthesizes Clotting Factors II, VII, IX, X
- Indications
- Hypoprothrombinemia
- Newborn Prophylaxis
- Bleeding from Warfarin Overdose
- Side Effects
- Shock
- Kernicterus
- Cardiac Arrest
- Considerations
- Bile Salts required for Intestinal Absorption
- Increased Risks with IV Administration
2 mins
Vitamin C (Ascorbic Acid)
- Mechanism
- Antioxidant
- Collagen Formation
- Steroid Synthesis
- Indications
- Dietary Deficiency
- Scurvy
- Side Effects
- GI Distress
- Considerations
- Citrus Fruits
- May Improve Healing
2 mins
Vitamin A (Retinol)
- Mechanism
- Maintains Mucous Membranes
- Eyes and Skin
- Indications
- Dietary Deficiency
- Skin Disorders
- Side Effects
- Hepatosplenomegaly
- Jaundice
- Increased ICP
- Vomiting
- Considerations
- Teratogen
- Animal Food Products
- Dark Green and Orange Fruits/Vegetables
2 mins
Cholecalciferol (Vitamin D3)
- Mechanism
- Vitamin D3
- Indications
- Dietary Supplement
- Vitamin D Deficiency
- Side Effects
- Fatigue
- Constipation
- Hypercalcemia
- Kidney Stones
- Considerations
- More Effective Than Ergocalciferol
- Hypervitaminosis D
2 mins
Cobalamin (Vitamin B12)
- Mechanism
- Vitamin B12
- Indications
- Vitamin Deficiency
- Pernicious Anemia
- Side Effects
- Hypokalemia
- Arthralgia
- Dizziness
- Considerations
- IM Injection for Pernicious Anemia
- Never Give IV
2 mins
Vitamin B6 (Pyridoxine)
- Mechanism
- Amino Acid and Protein Metabolism
- Heme Synthesis
- Neurotransmitters
- Indications
- Adjunct to Isoniazid
- Dietary Deficiency
- Premenstrual Syndrome (PMS)
- Side Effects
- Ataxia
- Peripheral Neuropathy
- Contraindications
- Levodopa
- Considerations
- Cereals and Meats
3 mins
Vitamin E (Alpha-tocopherol)
- Mechanism
- Antioxidant
- Indications
- Fat Malabsorption Syndrome
- Alpha-TTP Deficiency
- Side Effects
- Bleeding
- Considerations
- Increased Risk Hemorrhagic Stroke
- Limit Doses < 200 IU per Day
- Nuts and Whole Grains
- Vegetable Oils
2 mins
Total Parenteral Nutrition (TPN)
- Mechanism
- Nutrition Given Outside GI
- Side Effects
- Hyperglycemia
- Hyperlipidemia
- Refeeding Syndrome
- Nausea and Vomiting
- Considerations
- Slow IV Infusion
- Use Large Central Vein
- No Added Meds to TPN Line
2 mins
Anorexia Nervosa Assessment
- Adolescent Girls
- Fear of Gaining Weight
- Assessment
- Excessive Dieting
- Distorted Body Image
- Decreased Bone Density
- Stress Fractures
- Lanugo
- Amenorrhea
- Anemia
- Diagnostic Criteria
- BMI < 18.5
3 mins
Bulimia Nervosa Assessment
- Assessment
- Normal Body Weight
- Binge and Purge
- Electrolyte Disturbances
- Alkalosis
- Hypokalemia
- Parotitis
- Enamel Erosion
- Russell's Sign
- Diagnosis
- Once Weekly For 3 Months
2 mins
Anorexia Nervosa and Bulimia Nervosa Interventions
- Interventions
- Build Trust
- Plan Caloric Intake
- Supervise Meals
- Supervise Elimination
- Encourage Liquids
- Daily Weights
- Use Matter-of-Fact Statements
- Give Feelings of Control
- Considerations
- Tube Feedings If Further Weight Loss
2 mins
Fluoxetine (Prozac)
- Mechanism of Action
- Inhibits Reuptake of Serotonin
- Indications
- Depression
- Side Effects
- Sexual Dysfunction
- CNS Stimulation
- Weight Changes
- Serotonin Syndrome
- Contraindications
- No MAO-Is
- No Anticoagulants / Antiplatelets
- Considerations
- Suicide Risk
- Delayed Onset of Action
2 mins
