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HNF 471 EXAM STUDY GUIDE

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HNF 471 EXAM STUDY GUIDE

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HNF 471 EXAM STUDY GUIDE

BMI - Answer -kg/m^2

BMI underweight - Answer -<18.5

BMI Normal - Answer -18.5-24.9

BMI overweight - Answer -25- 29.9

BMI obesity class I - Answer -30- 34.9

BMI obesity class II - Answer -35- 39.9

Obesity Class III - Answer -> or equal to 40

UBW% Mild malnutrition - Answer -85%- 95%

UBW% Moderate Malnutrition - Answer -75%-84%

%UBW severe malnutrition - Answer -<75%

UBW% Normal - Answer -95%-105%

IBW % mild malnutrition - Answer -80%-90%

IBW % Moderate malnutrition - Answer -70%-79%

IBW % Severe malnutrition - Answer -<70%

IBW % Normal - Answer -90% - 110%

IBW % Obese - Answer ->120%

IBW % morbidly obese - Answer ->200%

symtom of Gastroparesis - Answer -early satiety, vomiting, abdominal discomfort

pt was vomiting, doesnt want to eat - Answer -liquids: water, apple juice, tea
soild foods: dry toast, crackers, pretzles, rice

pt is experincing diarrhea, doesnt want to eat - Answer -reccomend: cheese, white
bread, white rice, pasta, pretzles, creamy pb

, pt is experiencing constipation - Answer -- reccomend fiber but careful of pt eating too
much fiber
- If pt is taking opioids for pain, Fiber is not going to help --> need a laxative

pt is experiencing taste changes, doesnt want to eat - Answer -reccomned: spices/
seasonings, plastic cutlery, temperature change in food

Signs of malnutrition - Answer -dry skin, Temporal wasting, moon face, Pale
conjunctivae, Marasmus (extreme wasting), Angular stomatitis

C-reactive Protein (CRP) - Answer -- Sign of inflammation
- increase very quickly when pt is stressed

medication ending in -cin - Answer -most commonly means fighting infection

Hypophosphatemia - Answer -low phosphate levels

Hypokalemia - Answer -Low potassium in the blood.

Pt is experiencing early satiety - Answer -reccomend: small frequent meals, protein
drinks, liquids

Vitamin C defiency - Answer -- Scurvy
- Symtoms: Bleeding gums, dry scaly skin, swollen gums (Gingival hypertrophy)

Deyhydration Symtoms - Answer -- poor skin turgor
- dark urine
- Elevated BUN, Serum Sodium, Serum Chloride

Symtoms of anemia - Answer -Koilonchia (spoon shaped nails), Angular stomatitis,
fatigue

Macrocytic RBC - Answer -characterized by larger than normal RBCs

Megaloblastic RBC - Answer -Large, immature RBCprogenitor cells

Normocytic RBC - Answer -RBCs that are normal size

MNT for Iron - Answer -- iron rich foods
- oral (simple and cheap) but may take up to 30 days to see improvement
- intramuscular, and intravenous (best to guarantee delivery of iron to bone marrow)
- Vitamin C: enhanses iron absorbtion
- MPF factor (Meat, Protein, and Fish)

food sources of iron - Answer -Heme Iron: Chicken liver, Beef liver, canned tuna, turkey
Non-heme iron: Reday to eat ceral/ oatmeal, Spinach, Beans

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