Shared Flashcard Set

Details

Nutrition Quiz Chapter 7
Nursing
90
Nursing
Not Applicable
12/10/2023

Additional Nursing Flashcards

 


 

Cards

Term
Fluids
Definition
• Substances composed of freely moving molecules
• Have the ability to conform to the shape of the container that holds them
• There are different types of fluids in our bodies

– Two-thirds of the body’s fluid is intracellular fluid

– The remaining one-third is extracellular fluid
Term
Two-thirds of the body’s fluid is _____________

The remaining one-third is ________________
Definition
intracellular fluid

extracellular fluid
Term
Extracellular fluids include
Definition
– Tissue fluid, found between the cells within tissues and organs of the body
– Plasma, the fluid portion of blood that carries the blood cells
Term
Plasma
Definition
the fluid portion of blood that carries the blood cells
Term
The body fluid composition of tissue varies by
Definition
– Tissue type—lean tissues have higher fluid content than fat tissues

– Gender—males have more lean tissue and therefore more body fluid

– Age—lean tissue is lost with age, and body fluid is lost with it
Term
lean tissues have higher fluid
Definition
content than fat tissues
Term
males have more lean tissue and
Definition
therefore more body fluid
Term
lean tissue is lost with age, and
Definition
body fluid is lost with it
Term
In intracellular fluid, K+ and HPO4 2- are

In extracellular fluid NA+ and CL- are
Definition
the predominant electrolytes

the predominate electrolytes

There is a slight electrical charge difference on either side of the cell membrane
Term
Electrolytes are essential minerals—like
Definition
sodium, calcium, and potassium—that are vital to many key functions in the body. They're often talked about in association with dehydration and mentioned in ads for sports drinks that promise to replace electrolytes lost through sweat.
Term
Fluids dissolve and transport substances

– Water is an excellent solvent because it can dissolve
Definition
many different substances


– The dissolve materials, or solutes, include ions, carbohydrates, amino acids, vitamins, and minerals
Term
Fluids account for blood volume

– Blood volume is the amount of
Definition
fluid in the blood

– Increased blood volume can cause blood pressure to rise (hypertension)

– Decreased blood volume can cause low blood
pressure
Term
Increased blood volume can cause blood pressure to rise
Definition
Hypertension
Term
Decreased blood volume can cause
Definition
low blood pressure

Hypotension
Term
Fluids help maintain body temperature
– Because water has a high
Definition
heat capacity, the temperature of our body fluids remains quite stable

Sweating releases heat as the evaporation of water from the skin cools the skin and blood
Term
Fluids protect and lubricate our tissues
Definition
– Cerebrospinal fluid protects the brain and spinal column

– Amniotic fluid protects the fetus

– Synovial fluid is a lubricant around joints

– Digestive secretions allow for easy passage of material

– Pleural fluid covering the lungs allows friction-free expansion and retraction
Term
Amniotic fluid protects
Definition
the fetus
Term
Synovial fluid is a lubricant around
Definition
jointS
Term
Pleural fluid covering the lungs allows
Definition
friction-free expansion and retraction
Term
Cerebrospinal fluid protects
Definition
the brain and spinal column
Term
Electrolytes help regulate fluid balance

Water follows the movement of electrolytes, moving by
Definition
osmosis to areas where the concentration of
electrolytes is high

– This allows for the controlled movement of fluids into and out of cells
Term
Water follows the movement of
Definition
electrolytes

Moving by osmosis to areas where the concentration of electrolytes is high
Term
Moderate Exercise properly hydrated
Definition
Same concentration of electrolytes both sides of cell membranes you will be in fluid balance
Term
Strenuous exercise with rapid and high water intake
Definition
Water quickly during intense, prolonged exercise, the extracellular fluid becomes diluted

Lower concentration outside higher inside
Term
Strenuous exercise with inadequate fluid intake
Definition
Higher concentration outside lower inside

Drawing water away from inside and making them shrink
Term
Electrolytes enable our nerves to respond to stimuli
Definition
– Movement of sodium (Na+) and potassium (K+) across the membranes of nerve cells changes the electrical charge across the membrane

– This change in electrical charge carries the nerve impulse along the nerve cell
Term
Sodium and Chloride are extra
Definition
cellular fluid

Extracellular sodium and chloride

during resting phase
Term
Phosphorus and Potassium are intra
Definition
cellular fluid

Intracellular phosphorus and potassium
Term
Electrolytes signal our muscles to
Definition
contract

– The movement of calcium into a muscle cell
stimulates the muscle to contract

– The is pumped back out of the cell after the
muscle contraction
Term
Water lost from the body must be replaced

Water is lost through
Definition
urine, sweat, evaporation, exhalation,
and feces
Term
The thirst mechanism occurs from
Definition
a cluster of nerve cells (in the hypothalamus) that stimulate our desire to drink

However, the thirst mechanism is not always sufficient; the amount of fluids people drink may not be enough to achieve fluid balance
Term
Water is gained through beverages, food, and metabolic
reactions

– Metabolic water contributes about
Definition
10–14% of the water the body needs
Term
Sensible water loss occurs through
Definition
urine and sweat

 Most water is lost through urine
Term
Most water is lost through
Definition
urine

The kidneys control how much water is reabsorbed;

excess water is processed by the kidneys and
excreted as urine
Term
Insensible water loss occurs through
Definition
evaporation from the skin or exhalation from the lungs, as well as through feces
Term
Diuretics increase
Definition
fluid loss via the urine
Term
Fluid for a woman 2500 kcal/day

9.3 cups beverages

2.1 cups food

1.3 cups metabolic water
Definition
12.7 cups

3000 ml

Losses

3000 ml

12.7 cups
Term
“Hard water” is relatively high
Definition
in calcium
Term
The U.S. Environmental Protection Agency (EPA) sets and monitors standards for
Definition
public water systems and is responsible for regulation of bottled water
Term
What if you drink too much water?
Definition
– Becoming overhydrated is rare
– Can result in a dilution of sodium (hyponatremia)
Term
What if you don’t drink enough water?
Definition
– Dehydration
– Infants and the elderly are especially vulnerable
Term
Low-fat and skim milk provide
Definition
protein, calcium, phosphorus, vitamin D, and, usually, vitamin A
Term
Moderate consumption of beverages with caffeine
Definition
is safe and potentially healthful
Term
“Designer waters” with added nutrients and/or herbs can add more than
Definition
300 Calories to the day’s intake and rarely
contribute to better health
Term
Functions of sodium
Definition
– Fluid and electrolyte balance

– Associated with blood pressure and pH balance in the body

– Required for nerve impulse transmission

– Assists in the transport of certain nutrients (e.g., glucose) into body cells
Term
What if you consume too much sodium?
Definition
‒ Hypernatremia: abnormally high blood sodium
concentration

‒ Can occur in patients with congestive heart failure or kidney disease

‒ Results in high blood volume, edema, and high blood pressure
Term
What if you don’t consume enough sodium?
Definition
‒ Hyponatremia: an abnormally low blood sodium level

‒ Can result from prolonged vomiting, diarrhea, or sweating

‒ Has been seen in marathon athletes who consume too much water and fail to replace sodium
Term
Functions of potassium
Definition
‒ Fluid and electrolyte balance

‒ Very important in muscle contractions and transmission of nerve impulses

‒ High potassium intake helps to maintain a lower blood pressure
Term
High potassium intake helps to
Definition
maintain a lower blood pressure

Bring BP down
Term
Sources of potassium
Definition
‒ Processed foods are usually low in potassium

‒ Fresh fruit and vegetables and whole grains are good sources of potassium

Whole baked potato

Yogurt nonfat

Tomato juice

Halibut cooked

OJ Concentrate

Banana raw

Cantaloupe raw

Spinach raw
Term
A high blood potassium level
Definition
Hyperkalemia
Term
What if you consume too much potassium?
Definition
‒ Hyperkalemia: a high blood potassium level

‒ Can occur in patients with kidney disease

‒ Can alter normal heart rhythm, resulting in a heart attack
Term
K is for
Definition
Potassium

Kalemia for example

Hyper

Hypo
Term
What if you don’t consume enough potassium?
Definition
‒ Hypokalemia: a low blood potassium level

‒ Can be seen in patients with kidney disease or diabetic acidosis

‒ Can occur when taking certain diuretic medications
Term
Functions of chloride
Definition
‒ Assists with maintaining fluid balance

‒ Assists the immune system

‒ Component of HCl in the stomach

• Recommended intake

‒ Minimum recommendation is 2.3 g/day
Term
What if you consume too much chloride?
Definition
‒ May lead to hypertension in salt-sensitive patients
Term
What if you don’t consume enough chloride?
Definition
‒ This is rare but can occur in people with eating disorders
Term
Functions of phosphorus
Definition
‒ The major intracellular negatively charged electrolyte

‒ Required for fluid balance

‒ Critical role in bone formation (85% of body’s
phosphorus is found in bone)

‒ Regulates biochemical pathways by activating or deactivating enzymes

‒ Found in ATP, DNA, RNA
Term
Sources of phosphorus
Definition
‒ Widespread in many foods
‒ Found in high amounts in foods that contain protein

(e.g., meat, milk, eggs)

Cheese, cheddar
Yogurt, nonfat plain
Lentils, cooked
Black beans, cooked
Term
What if you consume too much phosphorus?
Definition
‒ High blood levels of phosphorus can occur with kidney

disease or when taking too many vitamin D
supplements

‒ Causes muscle spasms, convulsions
Term
Serious health problems that can occur when fluid
excretion exceeds fluid intake include
Definition
‒ Dehydration occurs when fluid excretion exceeds fluid intake

‒ Heat illnesses

 Heat cramps
 Heat exhaustion
 Heat stroke
Term
Heat cramps
Definition
Slight dehydration

tend to go away
Term
Heat exhaustion
Definition
Sweaty dizzy thirst
Term
Heat stroke
Definition
Dry skin

Cool down immediately

Heart pounding
Term
Dehydration occurs when
Definition
water loss exceeds water intake

• Commonly due to heavy exercise or high environmental temperatures

• Infants and the elderly are more at risk
Term
Other common causes of dehydration include
Definition
‒ Diarrhea
‒ Vomiting
‒ Fever
‒ Burns, including sunburn
‒ Poorly controlled diabetes
‒ Abuse of diuretics or laxatives
Term
Dehydration is classified in terms of percentage of weight
Definition
loss that is exclusively due to the loss of fluids
Term
Lighter urine color generally indicates
Definition
Adequate hydration
Term
Darker auburn brownish urine color generally indicates
Definition
Minor to Severe dehydration
Term
Three common types of heat illnesses closely linked to dehydration are
Definition
‒ Heat cramps
‒ Heat exhaustion
‒ Heatstroke
Term
Heat Cramps are
Definition
• Painful muscle cramps, usually in the abdomen, arms, or legs

• Develop during vigorous activity sessions in the heat

• Spasms can last seconds or minutes

• Important to stop activity immediately, cool down, and rest; cramps may signal a more serious problem
Term
Heat Exhaustion is
Definition
• Typically occurs from vigorous activity in heat

• May develop after several days in high heat when fluids are inadequate

• Symptoms include cramps, weakness, vomiting, dizziness, and elevated blood pressure and pulse

• Must be treated promptly and aggressively to prevent heatstroke from developing
Term
Heatstroke occur
Definition
if the body’s temperature regulation
mechanisms fail

• Occurs in hot, humid environments

• Symptoms include rapid pulse, hot and dry skin, high body temperature, and weakness

• Has been fatal for athletes during exercise in extreme heat

• If it occurs, provide immediate cooling and rest, and contact emergency medical help quickly
Term
Alcohols are chemical compounds characterized by
Definition
a hydroxyl group

• In common usage, beverages containing ethanol made from fermented fruits, vegetables, or grains
Term
What is moderate alcohol intake?
Definition
‒ A drink is defined as the amount of a beverage that provides fluid ounce of pure alcohol

‒ Proof is a measurement of alcohol content

‒ Moderate alcohol intake is defined as the consumption of up to one drink per day for women, and up to two drinks per day for men
Term
Moderate alcohol intake is defined as
Definition
the consumption of up to one drink per day for women, and up to two drinks per day for men
Term
Benefits of moderate alcohol consumption include
Definition
‒ Stress and anxiety reduction
‒ Appetite improvement
‒ Lower rates of heart disease
‒ Possible lower risks for diseases such as diabetes,
heart disease, and liver disease
Term
Concerns about moderate alcohol intake include
Definition
‒ Women appear to be at higher risk of breast cancer

‒ Increased risk of hypertension

‒ Higher rates of bleeding in the brain

‒ Relatively high Calorie content

‒ Potential risk of adverse drug interactions
Term
Muscles don’t metabolize alcohol;
Definition
the liver does.
Term
Very little alcohol is lost in sweat;
Definition
the alcohol will remain in your bloodstream.
Term
Alcohol use disorder (AUD)
Definition
‒ Medical diagnosis for problem drinking that has become severe and is characterized by either abuse or dependence
Term
Types of alcohol abuse:
Definition
‒ Alcohol abuse is excessive intake of alcohol

‒ Binge drinking is consumption of five or more drinks per occasion

‒ Alcoholism is a disease characterized by chronic dependence on alcohol
Term
Effects of alcohol abuse:
Definition
‒ A hangover is a consequence of drinking too much alcohol; symptoms include headache, fatigue, dizziness, muscle aches, and nausea

‒ Even at low intakes, alcohol impairs reasoning and judgment

‒ Alcohol poisoning is a potentially fatal metabolic state involving cardiac or respiratory failure

‒ Alcohol abuse can lead to traumatic injury from falls, drownings, assaults, and traffic accidents
Term
When the rate of alcohol intake exceeds the ability of the liver to break alcohol down, liver cells are
Definition
damaged or destroyed
Term
Fatty liver
Definition
is an early but reversible sign of liver damage
Term
Alcohol hepatitis
Definition
results in loss of appetite, nausea and vomiting, abdominal pain, and jaundice
Term
Cirrhosis of the liver
Definition
involves permanent scarring after years of alcohol abuse
Term
‒ Chronically high intake increases risk of alcohol include
Definition
 Impaired bone health
 Pancreatic injury and diabetes
 Cancer
 Abdominal obesity
 Malnutrition
Term
Fetal alcohol syndrome (FAS)
Definition
a set of serious, irreversible birth defects, including physical, emotional, behavioral, and developmental problems
Term
Fetal alcohol effects (FAE)
Definition
subtler consequences that may be exhibited later, including hyperactivity, attention deficit disorder, and impaired learning abilities
Supporting users have an ad free experience!