Laboratory Assessment of Nutrition Status - Home Study Manual
BEHAVIORAL OBJECTIVES
At the conclusion of the home study course the successful participant will be able to:
List the four areas of criteria necessary for a complete nutritional assessment.
Identify 5 different factors that
influence lab values.
Explain how stress effects our
nutritional requirements.
List 2 factors that should be
considered when ordering lab tests.
Identify 3 hydrations issues that
patients can experience.
Explain the nutritional
significance of glucose blood levels.
Explain the nutritional
significance of fluid and electrolyte levels.
Explain the nutritional
significance of kidney function tests.
Explain the nutritional
significance of blood lipid & markers for heart
disease.
Explain the nutritional
significance of protein and protein markers.
Explain the nutritional
significance of liver and cardiac enzymes.
Explain the nutritional
significance of Iron, TIBC, Transferrin & Transferrin Saturation.
Explain the nutritional
significance of CBC with Differential &
Platelets.
TABLE OF CONTENTS
Introduction
Measures of Nutritional Status
Factors Influencing Lab Values
Factors to consider when ordering lab tests
The Physiology of Stress
Laboratory Reference:
Glucose, blood
Glucose Tolerance Test (GTT)
HgbA1C Glycoscylated Hemoglobin
Fructosamine or Protein Bound Glucose
Insulin, Fasting
Fluid & Electrolytes
Sodium, Serum
Potassium, Serum
Chloride
Phosphorus
Calcium
Magnesium
Carbon Dioxide
Hydration Issues
Water
Dehydration vs. Volume Depletion
How do you measure dehydration?
Osmolality
Kidney Function Tests
Blood Urea Nitrogen (BUN)
Ammonia, blood
Creatinine
Protein, Urine
Uric Acid
Blood Lipids & Markers for Heart Disease
Cholesterol, Total
Triglycerides
Homocysteine (HCY)
C-Reactive Protein
Protein, and Protein Markers
Protein, (Blood) Total
Albumin
Globulin
Albumin/Globulin Ratio
Pre-albumin
Ferritin
Retinol-Binding Protein
Insulin-like Growth Factor (IGF-1) (Somatomedin C)
A Case Study: Is this protein deficiency?
A Case Study: Compromised immunity
Liver and Cardiac Enzymes
Alkaline Phosphatase (ALP)
Gamma-Glutamyl Transferase (GGT)
Alanine Aminotransferase (ALT)
Aspartate Aminotransferase (AST)
Lactic Dehydrogenase (LDH)
Creatine Phosphokinase (CPK)
Troponins
Iron, TIBC, Transferrin, Transferrin Saturation
RBC Indices for Anemia
Folate
Vitamin B12
Methyl Malonic Acid (MMA)
Schilling test (for B12 absorption)
CBC with Differential & Platelets
WBC
Neutrophils
Lymphocytes
Monocytes
Basophils and Eosinophils
RBC
Hemogloblin
Hematocrit
Mean Corpuscular Volume (MCV)
Mean Corpuscular Hemoglobin Concentration (MCHC)
Red Cell Distribution Width (RDW)
Mean Platelet Volume (MPV)
Thyroid Tests
T4 (Thyroxine)
T3 (Triiodothyronine)
TSH
Free T4
Thyroid-Stimulating Immunoglobulin
Antithyroglobulin Antibody Test
Misc. Nutrients
Vitamin K
Chromium
Zinc
Essential Fatty Acids
Co Enzyme Q10 (CoQ10)
Carnitine
APPENDIX A: Conversion table for SI Units
APPENDIX B: Abbreviations, References
FACULTY BIO
This program is presented by Jackie Storm PhD, CNS.
Jackie has over 30 years of experience as a
nutritionist/health educator, providing individual
counseling and workshops. She is also a national lecturer,
has held adjunct faculty positions at several colleges,
hosted a nutrition based radio program in the New York City
area and contributed to a variety of professional
publications. Despite her full schedule, she continues to be
involved several national nutrition based organizations. She
applies this full body of education and experience to her
two publications; Laboratory Assessment of Nutritional
Status and Drug/Nutrient Interactions.
ACCREDITATION:
Dietitians Academy Medical Systems is a Continuing Professional
Education (CPE) Accredited Provider with the Commission on Dietetic
Registration (CDR). Registered dietitians (RDs) and dietetic
technicians, registered (DTRs) will receive 10 continuing professional
education units (CPEUs) for completion of this program/material.
(Dietitians Level 1 & 2)
