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Vitamins and Minerals. NAPNES Guidelines Presented by Laura Zdancewicz MSN, CRNP. Vitamins and Minerals Definition. Vitamin Organic molecules needed in small amounts To carry out normal body metabolism Occur naturally in both plant and animal food Minerals
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Vitamins and Minerals NAPNES Guidelines Presented by Laura Zdancewicz MSN, CRNP
Vitamins and MineralsDefinition • Vitamin • Organic molecules needed in small amounts • To carry out normal body metabolism • Occur naturally in both plant and animal food • Minerals • Inorganic compounds that are essential nutrients • Needed for a variety of physiologic functions • Composed of various metallic and nonmetallic elements • Chemically combined with ionic bonds
Indications for vitamins and mineral supplements include: • Inadequate diet • Anorexia • Weight reduction or other special diets • Illness: • Alcoholism • Poor eating habits. • Malabsorption syndromes • Chronic gastrointestinal disorders or surgery that result in chronic diarrhea.
Indications (cont.) • Increased need for certain nutrients • Pregnancy and lactation • Iron and Calcium. • Infants • Adolescence • Debilitation • Illness • Unusual physical activity • Postmenopausal women (calcium).
Indications (cont.) • Deficiencies due to medication interactions • Example • Potassium deficiency • Diuretic use
The RDA • Recommended Dietary Allowances • Includes • Amount from foods consumed • Supplements
Fat-Soluble Vitamins • Vitamin A • Vitamin D • Vitamin E • Vitamin K
Vitamin A( Retinol, Retinal, Beta Carotene) • Functions: • Dim light vision • Maintenance of mucous membranes • Growth and development of bones • Healing of wounds • Resistance to infection • Beta carotene is an antioxidant • Blocks oxygen to combine with nutrient molecules ( Fat, Protein ).
Vitamin A (cont.) • Deficiency: • Night Blindness • Xerophthalmia • Dry Cornea. • Bone growth ceases • Toxicity: • Irritability, lethargy • Joint pain, myalgia, headache • Stunted growth, fetal malformations • Jaundice, nausea, diarrhea • Dry skin and hair
Vitamin A (cont.) • Food Sources: • Oily saltwater fish • Whole milk • Butter • Cream • Cod liver oil • Dark green leafy vegetables • Deep yellow or orange fruit • Fortified margarine
Vitamin D (Calciferol, Cholecalciferol, Ergocalciferol) • Functions: • Healthy bones and teeth • Muscle function • Deficiency: • Rickets • Osteomalacia • Poorly developed teeth • Muscle spasms
Vitamin D (cont.) • Toxicity • Hypercalcemia: • Kidney stones, kidney damage • Muscle/bone pain • GI distress • Food Sources: • Fish oils • Salmon, herring, mackerel, sardines • Fortified milk • Fortified cereals
Vitamin E (tocopherol) • Functions: • Antioxidant • Deficiency: • Destruction of RBCs, muscle weakness • Toxicity: • Prolonged bleeding time • Food Sources: • Meat, poultry eggs • Vegetable oils • Seeds, nuts
Vitamin K (Phytonadione) • Functions: • Blood clotting • Deficiency: • Prolonged blood clotting time • Toxicity: • Jaundice in infants • Food Sources: • Egg yolk, milk, vegetable oil, green leafy vegetables, cabbage, broccoli
Water-Soluble Vitamins B-complex vitamins Vitamin C
Vitamin B1 (Thiamine) • Functions: • Required for carbohydrate metabolism • Maintain normal nervous and cardiovascular systems • Deficiency: • GI upset • Neuritis • Mental disturbance • Cardiovascular problems • Muscle weakness, fatigue
Vitamin B1 (cont.)Thiamine • Food Sources: • Pork, beef, liver • Oysters • Eggs • Fish • Yeast • Whole and enriched grains, wheat germ • Legumes, collard greens, nuts
Vitamin B2 (Riboflavin) • Functions: • Aids release of energy from food • Deficiency: • Cheilosis • Glossitis • Photophobia, vision Problems • Dermatitis
Vitamin B2 (cont.) Riboflavin • Food Sources: • Milk • Meat, liver • Green vegetables • Cereals • Enriched bread • Yeast
Vitamin B6 (Pyridoxine) • Functions: • Synthesis of amino acids • Antibody production • Deficiency: • Cheilosis, glossitis, dermatitis • Neuritis, depression • Toxicity: • Seizures in newborn
Vitamin B6 (cont.) Pyridoxine • Food Sources: • Pork • Eggs • Whole grain cereals, wheat germ • Legumes, peanuts, soybeans • Potatoes
Vitamin B12 (Cyanocobalamin) • Functions: • Synthesis of RBC’s • Maintenance of nervous system • Deficiency: • Nerve, muscle, mental problems • Pernicious anemia
Vitamin B12 (cont.) Cyanocobalamin • Food Sources: • Foods of animal origin • Liver • Kidney • Fish and shellfish • Meat • Dairy foods
Vitamin B3 or Niacin (nicotinic acid) • Functions: • Lipid metabolism • Nerve functioning • Deficiency: • Pellagra • Toxicity: • Vasodilatation of blood vessels
Vitamin B3 or Niacin (cont.) • Food Sources: • Milk • Eggs • Fish • Poultry • Legumes, nuts
Folate (folic acid) • Functions: • Synthesis of RBC’s • Deficiency: • Glossitis • Macrocytic anemia • Irritability, behavior disorders
Folate (cont.) • Food Sources: • Organ meats • Green leafy vegetables • Avocado, beets • Broccoli • Orange juice
Vitamin C (ascorbic acid) • Functions: • Prevention of scurvy • Formation of collagen • Healing of wounds • Absorption of iron • Antioxidant
Vitamin C (cont.) ascorbic acid • Deficiency: • Scurvy • Poor healing • Muscle cramps/weakness • Ulcerated gums/mouth • Capillary fragility
Vitamin C (cont.) ascorbic acid • Toxicity: • Raise uric acid level • GI distress • Kidney stones • Rebound scurvy in neonates
Vitamin C (cont.) ascorbic acid • Food Sources: • All citrus • Broccoli • Tomatoes • Brussels sprouts • Cabbage • Green peppers
Pantothenic acid • B-complex vitamin • Used in protein and carbohydrate metabolism • Sources • Yeast • Liver, heart • Salmon • Eggs • Various grains
Biotin • B-complex vitamin • Used in glucose and fat metabolism • Sources • Egg yolks • Peanut butter • Liver, kidneys • Cauliflower • yeast
Minerals • Sodium ( Na ) • Chloride ( Cl ) • Potassium ( K ) • Calcium ( Ca ) • Iron ( Fe )
Calcium (Ca) • Functions: • Development of bones and teeth • Permeability of cell membranes • Transmission of nerve impulses • Blood Clotting • Preparations • Calcium carbonate • Calcium gluconate • Calcium citrate
Calcium (cont.) • Deficiency: • Osteoporosis • Osteomalacia • Rickets • Food Sources: • Milk, cheese • Sardines • Salmon • Green vegetables
Potassium (K) • Functions: • Contraction of muscles • Transmission of nerve impulses • Carbohydrate and protein metabolism • Maintaining water balance • Preparations • Potassium chloride (KCL) • K-dur • K-lyte
Potassium (cont.) • Deficiency: • Hypokalemia • Toxicity: • Hyperkalemia • Food Sources: • Oranges • Bananas • Dried fruits • Tomatoes
Sodium (Na) • Functions: • Maintaining water balance in blood • Deficiency: • Hyponatremia • Toxicity: • Hypernatremia • Increase in blood pressure
Chlorine (Cl) • Functions: • Gastric acidity • Regulation of osmotic pressure • Activation of salivary amylase • Deficiency: • Imbalance in gastric acidity • Toxicity: • Diarrhea • Food Sources: • Table salt
Magnesium (Mg) • Functions: • Synthesis of ATP (adenosine triphosphosphate) • Transmission of nerve impulses • Relaxation of skeletal muscles • Deficiency: • Imbalance • Weakness
Magnesium (cont.) • Toxicity: • Diarrhea • Food Sources: • Green vegetables • Whole grains
Iron (Fe) • Function: • Hemoglobin formation • Resistance to infection • Deficiency: • Pale, Weak, Lethargy • Vertigo • Air hunger • Preparations • Ferrous fumarate • Ferrous gluconate • Ferrous sulfate (FeSO4)
Iron (cont.) • Toxicity: • Vomiting/ Diarrhea • Erosion of GI tract • Food Sources: • Liver • Eggs • Poultry • Spinach • Dried Fruits
Iodine (I) • Functions: • Major component of thyroid hormones • Regulating rate of metabolism • Growth, reproduction • Nerve and muscle function • Protein synthesis • Skin and hair growth • Preparations • Iodine solution (Lugol’s)
Iodine (cont.) • Deficiency: • Goiter • Hypothyroidism • Toxicity: • “Iodine goiter” • Hyperactive, enlarged goiter • Food Sources: • Freshwater shellfish and seafood • Iodide salt
Zinc (Zn) • Functions: • Wound healing • Mineralization of bone • Insulin glucose regulation • Normal taste • Deficiency: • Poor wound healing • Reduced taste perception • Alcohol/glucose intolerance
Zinc (cont.) • Toxicity: • GI distress • Impaired immune system • Food Sources: • Liver • Oysters • Poultry • Fish • Whole-grain bread and cereal