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by: Ian Spath

NHM201Ch7Notes.pdf NHM 201

Marketplace > NHM 201 > NHM201Ch7Notes pdf
Ian Spath
GPA 3.25
Nutrition 201 Midterm ( Chapters 1-9)
Karin Pennington

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Nutrition 201 Midterm ( Chapters 1-9)
Karin Pennington
Study Guide
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This 2 page Study Guide was uploaded by Ian Spath on Monday January 19, 2015. The Study Guide belongs to NHM 201 at a university taught by Karin Pennington in Fall. Since its upload, it has received 306 views.


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Date Created: 01/19/15
Chapter 7 Common Breastfeeding Conditions Sore Nipples Poor positioning maternal infection poor suck Letdown Failure Usually resolved with environmental changes Oxytocin nasal spray for shortterm use Overactive Letdown Volume overwhelms infant More common problems Engorgement Breasts overfilled Plugged Duct Caused by milk stasis Bacterial Infection Mastitis Symptoms are flulike with fever Infected area on breast becomes red and hot Other maternal factors Alcohol Level in breast milk matches maternal blood levels at time of feeding Level in milk peaks within 1 hr consumption Nicotine Children of smoking mothers breastfed Marijuana Affects DNA and RNA metabolism Caffeine Moderate intake usually not a problem Do consider timing of consumption Hyperbilirubinemia and Jaundice Elevated levels of bilirubin cause yellow discoloring of the skin occurs in 60 of newborns within first week of life Bilirubin is a cell toxin can result in permanent brain damage byproduct of heme breakdown Jaundice caused by disease condition Treatment phototherapy Intravenous immunoglobulin IVIg results in the baby carrying antibodies from the mother that contribute to the breakdown of blood cells in the baby Exchange transfusion this involves repeatedly withdrawing small amounts of blood diluting the bilirubin and maternal antibodies and then transferring blood back into the baby a procedure that39s performed in a newborn intensive care unit Milk to Plasma Drug Concentration Ratio MIP Ratio the ratio of the concentration of drug in milk to the concentration of drug in maternal plasma Since the ratio varies over time a time averaged ratio provides more meaningful information than data obtained at a single time point It is helpful in understanding the mechanisms of drug transfer and should not be viewed as a predictor of risk to the infant as it is the concentration of the drug in milk and not the Mp ratio that is critical to the calculation of infant dose and assessment of risk Exposure Index the average infant milk intake per kilogram body weight per day X the milk toplasma ratio divided by the rate of drug clearance X 100 It is indicative of the amount of the drug in the breast milk that the infant ingests and is expressed as a percentage of the therapeutic or equivalent dose for the infant Medicinal Herbs plants used to prevent or remedy illness Persistent Organic Pollutants POPs a family of chemicals manufactured either for a specific purpose eg pesticides or flame retardants in electrical equipment or furniture or produced as byproducts of incinerated waste The pOp family includes dioxins polychlorinated biphenyuls pCBs polybrominated didphenyl ether pBDe and organochlorine pesticides Hyperbilirubinemia elevated blood levels of bilirubin a yellow pigment that is a byproduct of the breakdown of fetal hemoglobin Kernicterus or Bilirubin Encephalopathy the chronic and permanent clinical sequelae that are the end result of very high untreated bilirubin levels excessive bilirubin in the system is deposited in the brain causing toxicity to the basal ganglia and various brainstem nuclei Meconium Dark green mucilaginous material in the intestine of the fullterm fetus Allergic Diseases Conditions resulting from hypersensitivity to a physical or chemical agent Food Allergy Hypersensitivity abnormal or exaggerated immunologic response usually immunoglobulin e lge mediated to a specific food protein Food Intolerance an adverse reaction involving digestion or metabolism but not the immune system HIV human immunodeficiency virus


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