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-aholics.

• Vitamin D’s presence is required by the parathyroid gland, in order 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

• No milk (as well as fresh fruit or veggies) on neutropenic precautions.

• Nondairy sources of calcium include RHUBARB, SARDINES, COLLARD GREENS 24

• Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure

• Yogurt has live cultures, so do not give to immunosuppressed patients

• No phenylalanine with a kid positive for PKU (no meat, no dairy, no aspartame).

• Acid Ash diet: cheese, corn, cranberries, plums, prunes, meat, poultry, pastry, bread

• Alk Ash diet: milk, veggies, rhubarb, salmon

PART 2: Focused Review Notes

Manifestations of Vitamin A Toxicity

• Can cause teratogenic effects on fetuses

• Blurred vision

• Bone pain or swelling

• Hypercalcemia

• ICP

• Liver damage

• Skin peeling, itching

• Nausea and vomiting

• Abnormal softening of the skull bone (children) and bulging fontanels

Planning Care for a Client Who Follows Seventh-Day Adventist Dietary Laws

• Vegetarianism

o Do not consume animal products of any type INCLUDING eggs and milk

products.

o Vitamin B12 and Vitamin D supplements may be needed with a pure vegan diet.

• Vegan diets are adequate in protein due to intake of nuts and legumes (dried peas and

cooked beans).

Initiating Continuous Enteral Feeding