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68 Cards in this Set
- Front
- Back
ADMIE letter A is
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assessment
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D in ADIME is for
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Diagnosis
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I in adime is for
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intervention
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M in adime is for
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monitoring
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E in adime is for
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Evaluation
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PES in ADIME is under
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Diagnosis
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PES in SOAP is under
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assessment
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biochemical in ADIME is under
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assessment
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Problem in PES
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describes alterations in pt's nutritional status
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Etiology is
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the CAUSE of the health problems
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how many problems in PES
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only ONE
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how many etiologies in PES?
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only ONE
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Which is first RT or AEB?
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related to, then as evidenced by
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S/s in PES are subjective or objective?
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either or
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PES statement should be specific to the pt.
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yes
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comparison of current findings with previous status, intervention goals, or a reference standard. Which letter in ADIME?
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E
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actual occurrence, risk of, or potential for developing a nutritional problem. Which letter in ADIME?
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D
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purpose of assessment in ADIME?
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obtain information
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general appearance in SOAP is under
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O
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interpretation of patient's condition
or level of progress. in SOAP |
assessment
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stress affect on blood glc
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increases it
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hypoglycemic fasting bld glc levels
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less than 70 mg
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impaired fasting glc levels
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110-125 mg
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Diabetes fasting blood glc levels
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125 + (must be confirmed twice)
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epi effect on bld glc
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it increases it by increasing rate of catalysis of glycogen to glc. This typically happens under stress.
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Low Glycemic index range
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55 or less
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Medium GI range
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56-69
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High GI range
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70 +
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beta cell destruction in which type of diabetes?
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type 1
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INSULIN dependent diabetes
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type 1
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insulin resistance in which type?
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type 2
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This type of diabetes develops gradually and can take 7-10 years to diagnose.
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type 2
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GMD is
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any degree of glucose intolerance with onset or first recognition during pregnancy
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Fasting glc test. Result = 101. what classification?
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impaired fasting glc, prediabetes.
(100 - 125) |
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fasting glc test. result = 128. classification?
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Diabetes. (126 + )
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Which fasting glc test must be confirmed on another day?
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126 + (diabetes)
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FPG test =
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fasting plasma glc test
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OGTT =
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oral glc tolerance test
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which glc test is more sensitive?
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OGTT
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random plasma glc test classification for diabetes
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200+ may mean that you're diabetic
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3 diabetes test criteria
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1. random glc of 200+ w/ acute symptoms
2. fasting glc test of 126 + 3. OGTT is 200+ |
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A1C's should be:
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less than 7
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Pre diabetes 2 diagnostic criteria:
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1. fpg 100 - 125
2. ogtt 140 -200 |
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most of the body's water is in the ecf or icf?
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icf (2/3)
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ecf (1/3 of tbw) is made up of:
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interstitial and plasma
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the first place an imbalance of water exists is
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plasma
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The relative volumes of ECF and ICF are affected by
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osmotic gradients
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the most abundant anions in ecf are
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Cl and bicarbonate
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icf most abundant cations
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K and Mg
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icf most abundant anions
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proteins
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when ecf Na is low...
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the ecf vol is low
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when plasma protein is low
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interstitial fluid increases... edema
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how much urine is excreted each day
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500 ml (2 cups)
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metabolic water produced daily?
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200-300 ml
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body temp when dehydrated?
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increases
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mild dehydration
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5% loss of body weight
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severe dehydration
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15% + loss of body weight
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ascites is
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edema in the abdomin
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poor turgor (skin slowly returns after pinched) in what kind of hydration?
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dehydration
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At risk for dehydration
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children/infants
elderly chronically ill |
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how much water for males per day
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3.7 liters
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how much water for females per day
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2.7 liters
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kg method of estimating water needs
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35 ml/kg/day
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per kcal expended method of estimating hydration:
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1 - 1.5 ml/kcal/day
2100 kcal x 1 = 2100 ml 1.5 x 2100 kcal = 3150 ml |
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per kcal expended method of estimating hydration. limitations?
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not for person eating less than 1500kcal per day. (doesn't take into account body size at all)
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per kg way of estimating fluid needs. Diff ml depending on age are:
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30 ml/kg for older adults
35 for adults 50-60 for children 150 for infants |
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factors that increases fluid needs 8
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Fever
Diarrhea Vomiting Respirator Excessive perspiration Pressure ulcer (advanced stages) Nasogastric tube for suctioning Draining wounds |
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factors that decrease fluid needs 5
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Congestive heart failure
Cardiac disease Renal disease Dilutional hyponatremia Edema or ascites |