ATI NUTRITION STUDY GUIDE Part 1: General Notes Part 2: Focused Review Notes Part 3: ATI Rational with Additional/Supported Information PART 1: GENERAL NOTES (Important Facts) • Be wary of questions regarding children drinking too much milk i.e. more than 3-4 cups of milk each day. Too much milk intake reduces intake of other essential nutrients, especially iron. Watch for anemia with milk-a-holics. • Vitamin D’s presence is required by the parathyroid gland, for it to function. • If the patient is taking digoxin or K-supplements, avoid salt substitutes because many are potassium based • Potassium Sources: bananas, potatoes, citrus fruits, tomatoes, avocado • No milk (as well as fresh fruit or veggies) on neutropenic precautions. • Nondairy (lactose intolerant) sources of calcium include RHUBARB, SARDINES, COLLARD GREENS 24 • Vitamin C plays a role in controlling infections and healing wounds and is a powerful antioxidant that can neutralize harmful free radicals. • Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure • Yogurt has live cultures, so do not give to immunosuppressed patients helps with constipation • No phenylalanine with a kid positive for PKU (no meat, no dairy, no aspartame). 2x month (serum bilirubin should be monitored) • Pernicious Anemia: b12 deficiency • Digestion enzyme: pepsin • Dry mouth: offer citrus • Hummus has more protein then PB • Acid Ash diet: cheese, corn, cranberries, plums, prunes, meat, poultry, pastry, bread • Alk Ash diet: milk, veggies, rhubarb, salmon • Glycogen is the stored carbohydrate energy source found in the liver and muscles. It is a vital source of back up energy but is only available in limited supply. Break down of liver Glycogen. • Gallbladder and liver: digesting fats • Fat provides energy • Malnourishment: ankle edema