Podcast
Questions and Answers
Which of the following B vitamins is considered effective in treating infantile beriberi?
Which of the following B vitamins is considered effective in treating infantile beriberi?
- Niacin (B3)
- Cobalamin (B12)
- Riboflavin (B2)
- Thiamine (B1) (correct)
What is the effectiveness of niacin (B3) in treating dyslipidemia and pellagra?
What is the effectiveness of niacin (B3) in treating dyslipidemia and pellagra?
- Effective (correct)
- No evidence
- Possibly effective
- Likely effective
Which statement is true regarding pyridoxine (B6)?
Which statement is true regarding pyridoxine (B6)?
- It is effective for pregnancy-induced nausea and vomiting.
- It is ineffective to treat vitamin B6 deficiency.
- It is effective to treat age-related macular degeneration.
- It is effective to treat vitamin B6 deficiency. (correct)
Which of the following is a B vitamin that is effective in treating biotin deficiency?
Which of the following is a B vitamin that is effective in treating biotin deficiency?
What is the effectiveness of folic acid (B9) in treating folate deficiency?
What is the effectiveness of folic acid (B9) in treating folate deficiency?
Which vitamin is known to cause blindness in children due to deficiency?
Which vitamin is known to cause blindness in children due to deficiency?
What effect does high doses of vitamin C potentially have on the common cold?
What effect does high doses of vitamin C potentially have on the common cold?
Which vitamin is categorized as a fat-soluble vitamin?
Which vitamin is categorized as a fat-soluble vitamin?
Which of the following is a key question to ask when providing recommendations during the patient care process?
Which of the following is a key question to ask when providing recommendations during the patient care process?
What is one of the risks associated with vitamin A therapy?
What is one of the risks associated with vitamin A therapy?
What dietary source is rich in vitamin D?
What dietary source is rich in vitamin D?
Which factor does NOT contribute to vitamin D deficiency?
Which factor does NOT contribute to vitamin D deficiency?
Which vitamin is NOT classified as a water-soluble vitamin?
Which vitamin is NOT classified as a water-soluble vitamin?
What serious risk can arise from excessive supplementation of calcium?
What serious risk can arise from excessive supplementation of calcium?
Which mineral can interfere with the absorption of both iron and zinc when taken together?
Which mineral can interfere with the absorption of both iron and zinc when taken together?
Which treatment is vitamin K specifically effective for?
Which treatment is vitamin K specifically effective for?
How much elemental calcium is recommended to be taken at once?
How much elemental calcium is recommended to be taken at once?
What potential outcome can result from long-term high doses of iron supplementation?
What potential outcome can result from long-term high doses of iron supplementation?
What should be done to reduce medication absorption interference with calcium supplements?
What should be done to reduce medication absorption interference with calcium supplements?
Which of the following is NOT a form of potassium available over-the-counter?
Which of the following is NOT a form of potassium available over-the-counter?
Which dietary source provides 300 mg of calcium per serving?
Which dietary source provides 300 mg of calcium per serving?
Which of the following conditions is associated with hypokalemia?
Which of the following conditions is associated with hypokalemia?
Which medication is known to potentially cause hyperkalemia?
Which medication is known to potentially cause hyperkalemia?
Which of the following minerals is classified as likely safe when taken orally by non-pregnant adults?
Which of the following minerals is classified as likely safe when taken orally by non-pregnant adults?
What is calcium classified as effective for treating?
What is calcium classified as effective for treating?
Which of the following is iron classified as effective for treating?
Which of the following is iron classified as effective for treating?
Which condition is potassium classified as effective for treating?
Which condition is potassium classified as effective for treating?
Which of the following is classified as possibly effective for treating restless leg syndrome?
Which of the following is classified as possibly effective for treating restless leg syndrome?
Which of the following minerals is classified as not having sufficient evidence for treating weight loss?
Which of the following minerals is classified as not having sufficient evidence for treating weight loss?
What factor can contribute to chronic renal insufficiency affecting vitamin D metabolism?
What factor can contribute to chronic renal insufficiency affecting vitamin D metabolism?
Which vitamin has dietary sources including wheat germ, sunflower oil, and green leafy vegetables?
Which vitamin has dietary sources including wheat germ, sunflower oil, and green leafy vegetables?
What is a key symptom associated with acute intoxication of vitamin D?
What is a key symptom associated with acute intoxication of vitamin D?
Which of the following statements about vitamin E toxicity is true?
Which of the following statements about vitamin E toxicity is true?
How might vitamin E interact with anticoagulant drugs?
How might vitamin E interact with anticoagulant drugs?
Which metabolic consequence is associated with chronic glucocorticoid use?
Which metabolic consequence is associated with chronic glucocorticoid use?
What is a common cause of vitamin K deficiency?
What is a common cause of vitamin K deficiency?
Which potential effect of high doses of vitamin E is still debated in the medical community?
Which potential effect of high doses of vitamin E is still debated in the medical community?
In cases of vitamin D toxicity, which condition may manifest due to hypercalcemia?
In cases of vitamin D toxicity, which condition may manifest due to hypercalcemia?
What age group is less effective at converting vitamin D through the skin?
What age group is less effective at converting vitamin D through the skin?
Which of the following is a symptom of Thiamine deficiency in adults?
Which of the following is a symptom of Thiamine deficiency in adults?
What are the common symptoms of Pellagra caused by Niacin deficiency?
What are the common symptoms of Pellagra caused by Niacin deficiency?
What can lead to Biotin deficiency?
What can lead to Biotin deficiency?
Which vitamin deficiency is associated with Anemia and Tongue inflammation?
Which vitamin deficiency is associated with Anemia and Tongue inflammation?
Which patient group is at risk of developing a Thiamine deficiency leading to Wernicke-Korsakoff syndrome?
Which patient group is at risk of developing a Thiamine deficiency leading to Wernicke-Korsakoff syndrome?
Which symptom is typically linked to Pantothenic acid (Vitamin B5) deficiency?
Which symptom is typically linked to Pantothenic acid (Vitamin B5) deficiency?
What is a common cause of Folic acid deficiency?
What is a common cause of Folic acid deficiency?
Which condition is NOT associated with Riboflavin deficiency?
Which condition is NOT associated with Riboflavin deficiency?
Which of the following vitamins is often associated with a deficiency in individuals undergoing total parenteral nutrition?
Which of the following vitamins is often associated with a deficiency in individuals undergoing total parenteral nutrition?
Which of the following is not a common symptom of Vitamin B6 deficiency?
Which of the following is not a common symptom of Vitamin B6 deficiency?
Which of these vitamins is essential for the prevention of neural tube defects?
Which of these vitamins is essential for the prevention of neural tube defects?
Which vitamin should not be used as an alternative to prescription Niacin for treating hyperlipidemia?
Which vitamin should not be used as an alternative to prescription Niacin for treating hyperlipidemia?
In long-term parenteral nutrition, deficiencies may include:
In long-term parenteral nutrition, deficiencies may include:
Which condition is characterized by dermatologic symptoms and is primarily associated with chronic alcohol abuse?
Which condition is characterized by dermatologic symptoms and is primarily associated with chronic alcohol abuse?
Flashcards
What conditions is Thiamine (B1) effective in treating?
What conditions is Thiamine (B1) effective in treating?
Thiamine (B1) is effective in treating infantile beriberi, Wernicke-Korsakoff syndrome, and adult beriberi.
What condition is Riboflavin (B2) effective in treating?
What condition is Riboflavin (B2) effective in treating?
Riboflavin (B2) is effective in treating ariboflavinosis, which is a deficiency of riboflavin.
What is Niacin (B3) likely effective in treating?
What is Niacin (B3) likely effective in treating?
Niacin (B3) is considered likely effective to treat dyslipidemia and pellagra. This means there is strong evidence to support its effectiveness in these conditions.
What is Pantothenic acid (B5) effective in treating?
What is Pantothenic acid (B5) effective in treating?
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What conditions is Pyridoxine (B6) effective or possibly effective in treating?
What conditions is Pyridoxine (B6) effective or possibly effective in treating?
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What is Infantile Beriberi?
What is Infantile Beriberi?
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What is Adult Beriberi?
What is Adult Beriberi?
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What is Wernicke-Korsakoff Syndrome?
What is Wernicke-Korsakoff Syndrome?
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What is Wernicke's Encephalopathy?
What is Wernicke's Encephalopathy?
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What is Korsakoff Syndrome?
What is Korsakoff Syndrome?
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What is Ariboflavinosis?
What is Ariboflavinosis?
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What is Pellagra?
What is Pellagra?
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What is Pantothenic Acid Deficiency?
What is Pantothenic Acid Deficiency?
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What is Vitamin B6 Deficiency?
What is Vitamin B6 Deficiency?
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What is Biotin Deficiency?
What is Biotin Deficiency?
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What is Folic Acid Deficiency?
What is Folic Acid Deficiency?
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What is Dosage?
What is Dosage?
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What are Routes of Administration?
What are Routes of Administration?
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What are Side Effects?
What are Side Effects?
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What is Efficacy and Safety?
What is Efficacy and Safety?
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Vitamin A Deficiency: Global Impact
Vitamin A Deficiency: Global Impact
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Vitamin A Toxicity
Vitamin A Toxicity
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Vitamin A Interactions: Retinoids
Vitamin A Interactions: Retinoids
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Vitamin A Interactions: Warfarin
Vitamin A Interactions: Warfarin
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Beta-Carotene and Lung Cancer
Beta-Carotene and Lung Cancer
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Vitamin D Sunlight Equivalence
Vitamin D Sunlight Equivalence
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Causes of Vitamin D Deficiency
Causes of Vitamin D Deficiency
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Vitamin D and Bone Health
Vitamin D and Bone Health
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Vitamin D deficiency in older adults
Vitamin D deficiency in older adults
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Vitamin D deficiency in chronic kidney disease
Vitamin D deficiency in chronic kidney disease
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Vitamin D deficiency from glucocorticoids
Vitamin D deficiency from glucocorticoids
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Consequences of vitamin D deficiency
Consequences of vitamin D deficiency
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Symptoms of vitamin D toxicity
Symptoms of vitamin D toxicity
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Dietary sources of vitamin E
Dietary sources of vitamin E
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Vitamin E deficiency
Vitamin E deficiency
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Vitamin E interactions
Vitamin E interactions
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What does Vitamin K treat?
What does Vitamin K treat?
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What are the different forms of Calcium?
What are the different forms of Calcium?
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How do different drugs affect Calcium absorption?
How do different drugs affect Calcium absorption?
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What are the risks of too much Calcium?
What are the risks of too much Calcium?
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What forms of iron are available?
What forms of iron are available?
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How do other medications affect Iron absorption?
How do other medications affect Iron absorption?
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What are the dangers of excessive iron intake?
What are the dangers of excessive iron intake?
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How do supplements impact medication absorption?
How do supplements impact medication absorption?
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Hypokalemia
Hypokalemia
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Hyperkalemia
Hyperkalemia
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Calcium: Safety
Calcium: Safety
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Calcium: Effectiveness
Calcium: Effectiveness
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Iron: Effectiveness
Iron: Effectiveness
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Potassium: Effectiveness
Potassium: Effectiveness
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Potassium: Possibly Effective
Potassium: Possibly Effective
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Potassium: Importance
Potassium: Importance
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Study Notes
Vitamins and Minerals Notes
- Learning Objectives:
- Identify patients at risk of deficiencies
- Determine if a vitamin/mineral is effective and safe for a patient
- Provide counseling points on niacin, folic acid, vitamin D, calcium, and iron
Water Soluble Vitamins
- Thiamine (Vitamin B1):
- Forms: Oral (OTC), injection (RX)
- Infantile Beriberi: Thiamine deficiency in breastfed infants, leading to heart failure and loss of reflexes
- Adult Beriberi: Weight loss surgery complications or total parenteral nutrition complications, can cause symmetrical peripheral neuropathy or cardiac involvement
- Wernicke-Korsakoff Syndrome: Chronic alcohol abuse, acute syndrome requiring immediate treatment to prevent death and neurologic disease. Includes Wernicke's encephalopathy (acute) and Korsakoff syndrome (chronic), impacting short-term memory
- Riboflavin (Vitamin B2):
- Form: Oral (OTC)
Niacin(Vitamin B3) Deficiency
- Pellagra: Rough skin condition, aka pelle agra
- Symptoms:
- Dermatitis in sun-exposed areas
- Diarrhea
- Dementia
- Death
Pantothenic Acid (Vitamin B5) Deficiency
- Form: Oral (OTC)
- Symptoms:
- Numbness
- Burning sensation (in feet, known as burning feet syndrome)
- Gastrointestinal distress
Pyridoxine (Vitamin B6) Deficiency
- Forms: Oral (OTC), injection (RX)
- Symptoms:
- Asthma
- Heart disease
- Chronic alcohol abuse
- Pregnancy
Biotin (Vitamin B7) Deficiency
- Form: Oral (OTC)
- Symptoms:
- Dermatitis around eyes, nose and mouth
- Conjunctivitis
- Alopecia
- Changes in mental status
- Lethargy
- Hallucinations
- "Pins and needles"
Folic Acid (Vitamin B9) Deficiency
- Forms: Oral (OTC), injection (RX)
- Symptoms:
- Malabsorptive syndromes
- Weight loss surgery
- Severe malnutrition
- Chronic alcohol use
- Infants fed exclusively goat milk
- Prevention: Important for preventing neural tube defects and for women of childbearing age.
Cobalamin (Vitamin B12) Deficiency
- Forms: Sublingual/Oral (OTC), injection/nasal spray (Prescription)
- Symptoms:
- Vegan/vegetarian diet
- Weight loss surgery
- Malabsorption
Ascorbic Acid (Vitamin C) Deficiency
- Forms: Oral (OTC), injection (RX)
- Symptoms:
- Scurvy
- Causes:
- Major cause of mortality in famine/malnourishment
- Poor diet lacking fruits/vegetables
Vitamin D Deficiency
- Sources:
- UV sunlight
- Deficiency Causes:
- Low sun exposure
- People over 70
- Toxicity:
- Excessive supplementation-high doses
- Leads to poisoning in children
- Long-term use of high doses can cause iron overload and multiple organ damage.
Vitamin E Deficiency
- Dietary Sources:
- Wheat germ, sunflower oil, almonds, hazelnuts, green leafy vegetables, tomato products, pumpkin, sweet potato
Vitamin K Deficiency
- Symptoms:
- Excessive bleeding
- Stomach pains
- Bone defects
- Interactions:
- Warfarin antagonists reducing anticoagulant effect
Calcium
- Forms: Acetate, Carbonate, Citrate, Gluconate (oral), Acetate (injection)
- Dosage Recommendations:
- 500mg elemental calcium at once MAX
- Recommended Sources:
- 8 ounces of milk = 300 mg
- 6 ounces of yogurt = 300 mg
- 1 ounce of cheese = 200 mg
- Add 250mg of calcium for non-dairy sources
Iron
- Forms: Fumarate, gluconate, sulfate (oral)
- Interactions:
- Fe and zinc interfere with absorption
- PPI can decrease iron absorption
- Toxicity:
- Leads to poisoning
Potassium and Sodium
- Forms:
- Potassim: Gluconate (oral)
- Sodium: Acetate, Chloride, Citrate, Gluconate, Phosphate
- Drug Interations
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