Fluid and electrolyes Nursing
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| BMI less than 18.5 | underweight
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| BMI greater than 25- 29.9 | overweight
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| BMI greater than 30 | obese
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| BMI over 40 | extremely obese
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| Significant weight loss | 5% over 1 month
10% over 6 months
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| Severe weight loss | greater than 5% over 1 month
greater than 10% over 6 months
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| Red raw fissured tongue | vit b def.
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| face pallor | anemia or iron def.
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| edema | protein def.
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| bitemporal wasting | protein def.
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| spongy red bleeding gums | vit def.
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| pale conjunctiva | iron def.
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| lip cheilosis | vit B def.
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| Hemoglobin levels | M: 14-18
F: 12-16 Blood loss, GI cancer
less than 11 should be evaluated
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| transferrin | carries iron & part of RBC for
Low levels = anemia
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| Total Iron Binding Capacity | Increased = low iron stores, iron def.
225-500 micro/dl
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| albumin | 3.5-5 ml/dl (long term evaluation)
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| Prealbumin | 15-35 ml/dl (short term)
less than 15 ^ risk for protein def.
less than 11= aggressively addressing nutrition
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| Renal diet | limit fluid, low protein, potassium, phosphorus, attention to calories
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| celiac disease | avoid gluten
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| Low residue diet | Low fiber(10-15g/ day) easy to digest, avoid seeds shelled veggies
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| Contraindications to NG tube | history of reflux, gastroparesis, aspiration
USE: nasointestine or nasoenteric
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| hypoglycemia | 70 mg/dl- jitters, sweat, fatigue, disoriented
GIVE:4 oz juice/soda, cake icing, glucose tab
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| hyperglycemia | 100-110 high
160 treat
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