PART 1: GENERAL NOTES (Important Facts)

•Be wary of questions regarding children drinking too much milk i.e. more than 3-4 cups of

milkeach 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.