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Hemoglobin A1c test
Lab test for long-term glucose levels.
LDL particle size and longevity
Smaller, denser LDL particles are more atherogenic.
High BUN and high creatinine correlation
Indicates renal (kidney) dysfunction.
High BUN with normal creatinine cause
Dehydration and/or increased protein catabolism.
Serum sodium and fluid balance
Low serum sodium (hyponatremia) requires increased sodium intake, while high sodium (hypernatremia) suggests dehydration.
Enemies elevated in pancreatitis
Amylase and lipase.
Consequences of high blood ammonia levels
Liver dysfunction, hepatic encephalopathy, and neurological issues.
Lab values for liver disease
Alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase (ALP).
Electrolytes decreased in refeeding syndrome
Phosphate, potassium, and magnesium.
Resting energy expenditure (REE)
Calories needed for 24 hours, not including athletes.
Respiratory quotient (RQ) interpretation
CO2/O2 ratio of 0.7 indicates fat use for energy, 0.8 indicates mixed macronutrients, and above 1 indicates carbohydrate use for energy.
Caloric calculation for resting metabolic rate (RMR) in females
(10 times weight in lbs) + (6.25 times height in inches) - (5 times age) - 161.
Caloric calculation for resting metabolic rate (RMR) in males
(10 times weight in lbs) + (6.25 times height in inches) - (5 times age) + 5.
Hypocaloric, high-protein regimen population
Targeted for obese or critically ill individuals.
High protein regimen calculation for nitrogen balance
Protein intake (g) x 0.16 = N; then N - (UUN + 4) = x; goal is x - 17.
RDA method for fluid needs
(body weight in lbs / 2.2 = kg) x ml; different age ranges have different needs.
Nutrition diagnosis PES statement: P
Problem in terms of nutrition.
Nutrition diagnosis PES statement: E
Etiology - root cause (physiological, psychosocial, environmental).
Nutrition diagnosis PES statement: S
Signs/symptoms - evidence from the issue.
Components of Nutrition intervention
Food/nutrient delivery, nutrition education, counseling, and coordination of care.
First step in nutrition counseling
Build rapport with open-ended questions.
CVD Ischemia
Reduced/restricted blood flow to tissues due to blockage or constriction of a blood vessel.
Plaque in arteries
Fatty deposits made from cholesterol, smooth muscle cells, and fibrous tissue.
Thrombosis
Blood clot forms at the site of injury or blood vessel.
Embolism
Thrombus breaks free and travels in the blood, blocking vessels elsewhere.
LDL (low-density lipoprotein)
Considered 'bad' cholesterol; excess can build up in arteries causing CVD.
HDL (high-density lipoprotein)
Considered 'good' cholesterol; helps remove cholesterol from blood back to the liver.
Diagnostic criteria for metabolic syndrome: Abdominal obesity
Waist circumference >40 inches for men, >35 inches for women.
Diagnostic criterion for high BP
Blood pressure higher than 130/85.
Diagnostic criterion for fasting glucose
Fasting glucose higher than 100 mg/dL.
Diagnostic criterion for triglycerides
Triglyceride levels higher than 150 mg/dL.
Diagnostic criterion for low HDL
HDL levels lower than 40 mg/dL for men and 50 mg/dL for women.
Foods linked to metabolic syndrome
High-fat diets, processed meats, and soft drinks.
Nutritional impact of trans fats
Increased LDL levels, decreased HDL levels, and reduced insulin sensitivity.
Sources of omega-3 fatty acids
Cold water fish, plants, and supplements.
Effect of sodium on blood pressure
Sodium increases hypertension risk; potassium helps lower BP.
Principles of the Mediterranean diet
Plant-based with healthy fats, moderate fish and poultry, low red meat and dairy, and daily wine.
Characteristics of a heart-healthy diet
Low saturated and trans fats, high in healthy fats and plant-based foods.