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Nutrition Support Certification Exam 2013 > Tidbits > Flashcards

Tidbits Flashcards

1
Q

Presents as folate deficiency

A

B12

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2
Q

Need folate for metabolism/absorption

A

B2, Niacin, choline

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3
Q

Helps mobilize Ca

A

Niacin

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4
Q

Decreases with inflammation

A

Zinc, Fe

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5
Q

Decreased with Zinc def

A

folic acid, Vit A

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6
Q

Competes with Iron

A

Manganese, chromium

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7
Q

Choline needs this for metabolism

A

B12, folic acid

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8
Q

Dec absorption of Fe with these meds/mins

A

PPI, oxalates, coffee, tea, Ca, Zinc, Mn

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9
Q

Fe finds to this organism

A

Gram Negative

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10
Q

Visual impairement

A

Deficiency Vit A, B2, zinc

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11
Q

Toxic Vit D

A

Increases Calcium

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12
Q

Too much Vit E inerferes with

A

Vit K

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13
Q

HIgh amts Vit C destroys this vitamin with heat

A

B12

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14
Q

Macrocytic Anemia

A

Folic acid

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15
Q

Microcytic Anemai

A

B6, Fe Cu

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16
Q

Megaloblastic Anemia

A

B12, Folic acid

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17
Q

Hypochromic Anemia

A

Fe, Cu

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18
Q

Vit D Def cause

A

osteo, seen in LT PN

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19
Q

Hair Loss

A

Biotin, zinc, EFAD

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20
Q

Impaired bile salts cause a decrease in this vit

A

folic acid

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21
Q

Bound to transferrin

A

Fe, chromium

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22
Q

Bound to Fe

A

chromium

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23
Q

Bound to albumin

A

zinc, molybdeum

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24
Q

Dec levels zinc related to

A

worsening hepatic fx, gluc intolerance, dec rep

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25
Q

High zinc causes

A

dec Copper, and Calcium binds, GI s/s

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26
Q

HCl needed for these vits

A

B2, B12, zinc, iodine

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27
Q

Pyridoxine

A

B6

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28
Q

cyanocobalamin

A

B12

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29
Q

IV Fe Dextran contraindicated with

A

3:1 PN, acute illness/sepsis (enteral ok)

30
Q

CAtions

A

Ca, Na, Mg, K

31
Q

Anion

A

Phos

32
Q

Severe Hypercalcemia treat with

A

IV NS and follow with lasix

33
Q

High K+ fluids

A

saliva, colon

34
Q

High Na fluids

A

Duodenum, ileum, pancreas, bile

35
Q

High HCl

A

stomach

36
Q

High bicarb

A

pancreas

37
Q

Treat Hypophosphotemia with

A

replete IV KPhos (not more 7mmos/hr–thrombo-phlebitis)

38
Q

Hypomagnesiumemia refractory with dec in

A

K+, Ca

39
Q

Treat Hypermagnesiumemia with

A

IV Ca Gluc/Chloride (IV not EN)

40
Q

Treat Hyperkalemia with

A

IV Ca Gluc, D5 with insulin, Na Bicarb, Albuterol

41
Q

Lose K in stool with this disease

A

CRF

42
Q

Hemodialysis @ risk for decreased

A

B6, Copper

43
Q

Rhabdo

A

High PO4, Low Ca

44
Q

LIthium increases what mineral

A

Calcium

45
Q

MNA (mini nutr assess)

A

easy good for elderly

46
Q

SGA

A

nutr status, severity of illness, ABC r/t malnutr, renal fx 1-7, nutr/med hx and physical

47
Q

Coumadin is better absorbed with

A

hydrolyzed protein in TF (also off 2hr a/p feeds)

48
Q

phytates are

A

whole grains, legumes (peas, lentils, carob, soybean, peanuts), nuts/seeds

49
Q

Ampho B decreases

A

Nephrotoxic, K+, Ca, Mg, Vit D, Folic acid, zinc

50
Q

ADH controls

A

water loss by kidneys

51
Q

Pallor

A

Fe, folate, B12

52
Q

Swollen joints

A

Vit C

53
Q

periph neuropathy

A

B12, B1, Cu

54
Q

Hypoactive reflexes

A

Vit K

55
Q

Hyperactive reflexes

A

Ca

56
Q

Calf tenderness bilat

A

B1

57
Q

Dementia

A

B1, B6, B12, Niacin, HIgh Mn

58
Q

Gingseng & Coenzyme Q10

A

Low BP, anti PLT, Low Blood sugars

59
Q

Garlic

A

anti PLT

60
Q

B2 Def @ risk with this dz

A

thyroid dz

61
Q

Niacin

A

tryptophan-pellagra (red tongue)

62
Q

Dermatitis, confusion, epileptic

A

B6

63
Q

High Vit C impairs availability of this vit

A

B12

64
Q

Folate is “trapped” if this vit missing

A

B12

65
Q

Diarrhea, pan/biliary losses, severe renal, ketoacidosis, lactic acidosis-lose bicarb

A

Metabolic acidosis

66
Q

Vomit, NGT output, diuretics, Low K with shifts-loss gastric acid

A

Metabolic alkalosis (treat 1/2 NS and replete K prn)

67
Q

High Osmolar Meds

A

acetaminophen, lasix, reglan, MVI, KCl

68
Q

Hold feeds with these meds

A

cipro, dilantin

69
Q

Na is absorption buddy with

A

Glucose

70
Q

MCT are ____ soluble

A

water

71
Q

GI atrophy wtih lack of this AA

A

glutamine

72
Q

Na req for healthy young adults

A

65 mEq/day

Nutrition Support Certification Exam 2013 (11 decks)

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