Test 4 Prep

Vitamin B1

Thamin

Vitamin B2

Riboflavin

Vitamin B3

Niacin

Vitamin B6

Pyridoxine

Vitamins B12

Cobalamin

Other B Vitamins

Biotin, Pantothenic acid, Folate(Folic Acid)

Vitamins absorbed in the lymphatic system, with chylomicrons

Fat Soluble Vitamins

Vitamin A

Retinol, Beta-carotene is it's precursor

Vitamin D

Cholecalciferol (animal sources), Calcitrol (active form in body)

Vitamin E

Alpha Tocopherol

Vitamin K

Phylloquinone(Naturally Occuring), Menaquinone (synthesized by intestinal bacteria)

Vitamins absorbed directly into the blood and travel freely

Water Soluble Vitamins

Pellegra

Niacin deficiency

Cheilosis, Glossitis

Riboflavin Deficiency

Beriberi, Wenicke-Korsakoff

Thiamin Deficiency

Macrocytic Anemia, Neural Tube Defects, Decreased DNA Synthesis

Folate (folic acid) deficiency

Pernicious Anemia

Cobalamin deficiency

Hemolytic Anemia or erythrocyte hemolysis

Alpha Tocopherol Deficiency

Hemorrhage

Vitamin K deficiency

Scurvy, Bleeding gums, Hemorrhage, poor wound heal

Vitamin C Deficiency

Rickets, Osteomalacia, Osteoporosis

Vitamin D deficiency

Toxicity- Competes with Fe, Calcium in brain can't signal messages from nerve cells, makes RBC weak and fragile, Binds to Antibodies and impares immune system, causes learning disabilities, behavior problems, and nerve damage

Lead Poisoning

Anemia, Pallor, Weakness, Decreased concentration, cold intolerance, Pica

Iron (Fe) Deficiency

Growth failure, delayed sexual maturation, decreased immune function, poor wound healing, decreased taste, decreased smell

Zinc (Zn) Deficiency

Dehydration (7-10% loss in body weight), Collapse death

Water Deficiency

Muscle Cramps, apathy, Decreased appetite

Sodium Deficiency

Impaired functioning of nerves and muscles, Increased risk of HTN

Potassium-K Deficiency

Calcium Deficiency Risk Factors *KNOW 3

Female, Small Frame, Advanced age, family history, early or surgical menopause, absence of periods, eating disorders, diet low in calcium and Vitamin D, Prolonged use of cortisone, Low testosterone, Inactive lifestyle, smoking cigarettes, excessive alcoho

Calcium- Serum, Calcitonin, Parathyroid Hormone

Serum Ca balance, Calcitonin decreases Ca, Parathyroid Hormone increases Ca.

Function of Chloride (Cl)

Maintains fluid and electrolyte balance

Inflamed eyelids, night blindness

Vitamin A deficiency

DRI Vitamin D

Age 19-70= 15mcg Age 71+= 20mcg

How is Vitamin D absorbed?

Skin -> Liver -> Kindeys

Folic Acid DRI

400mcg. Pregnancy=600mcg

Antioxidants- ACES

Vitamins ACE, Selenium

Chromium Function

Glucose tolerance factor, Stimulate insulin's action

Iron (Fe) DRI

Women Age 19-50= 18mg, Men(all ages) &women 50+= 8mg, Pregnancy= 27mg

Zinc (Zn) DRI

Men 11mg, Women 8mg

Iodine (I) DRI

150mcg

Goiter (Adults), Cretinism (Children)

Iodine Deficiency

Impaired Immune Function, Keshan's Disease

Selenium Deficiency

Tooth Decay

Fluoride Deficiency

Impaired Glucose metabolism, Elevated glucose

Chromium Deficiency

Needed with Iron (Fe) for Hemoglobin

Copper (Cu)

Sources of Chromium

Whole Grains

Risk Factors for HBP

Aged over 65 Years, Genetics, Overweight

How to reduce HBP

Reduce salt intake, DASH diet, Avoid harmful amounts of alcohol, physical exercise, maintain healthy BMI 18.5-24.9, Avoid tobacco use

Organs affected by HBP

Eyes, Kidneys, Heart, Brain

Food Recommendation for HBP

DASH, Fiber rich foods, low salt foods-RDA 1500, Less red meat, more fruits and veg, low-fat dairy, more fish and poultry

DASH diet recommendations for HBP

Increase Calcium, Decrease sodium, Increase Potassium, Increase magnesium

Desirable Blood Pressure

120/80

Borderline blood pressure

120-139/80-89

High Risk Blood Pressure

>140/>90