{"id":989,"date":"2017-10-26T17:20:10","date_gmt":"2017-10-26T17:20:10","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/sunynutrition\/?post_type=chapter&#038;p=989"},"modified":"2017-11-14T17:32:47","modified_gmt":"2017-11-14T17:32:47","slug":"12-52-vitamin-k-deficiency-toxicity","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/chapter\/12-52-vitamin-k-deficiency-toxicity\/","title":{"raw":"12.52 Vitamin K Deficiency &amp; Toxicity","rendered":"12.52 Vitamin K Deficiency &amp; Toxicity"},"content":{"raw":"<div class=\"__UNKNOWN__\">\r\n\r\nVitamin K deficiency is rare, but can occur in newborn infants. They are at higher risk, because there is poor transfer of vitamin K across the placental barrier, their gastrointestinal tracts do not contain vitamin K producing bacteria, and breast milk is generally low in vitamin K<sup>1<\/sup>. As a result, it is recommended (and widely practiced) that all infants receive a vitamin K injection within 6 hours of birth<sup>2<\/sup>.\r\n\r\nProlonged antibiotic treatment (which kills bacteria in the gastrointestinal tract) and lipid absorption problems can also lead to vitamin K deficiency<sup>3<\/sup>. Vitamin K deficient individuals have an increased risk of bleeding or hemorrhage. Remember that high levels of vitamin E intake can also interfere with vitamin K's blood clotting function. It is believed that a vitamin E metabolite, with similar structure to the vitamin K quinones, antagonizes the action of vitamin K.\r\n\r\nPhylloquinone and menaquinone have no reported toxicities. However, menadione can cause liver damage<sup>1<\/sup>.\r\n\r\n<b>References &amp; Links<\/b>\r\n\r\n1. Gropper SS, Smith JL, Groff JL. (2008) Advanced nutrition and human metabolism. Belmont, CA: Wadsworth Publishing.\r\n\r\n2. Byrd-Bredbenner C, Moe G, Beshgetoor D, Berning J. (2009) Wardlaw's perspectives in nutrition. New York, NY: McGraw-Hill.\r\n\r\n3. McGuire M, Beerman KA. (2011) Nutritional sciences: From fundamentals to food. Belmont, CA: Wadsworth Cengage Learning.\r\n\r\n<\/div>","rendered":"<div class=\"__UNKNOWN__\">\n<p>Vitamin K deficiency is rare, but can occur in newborn infants. They are at higher risk, because there is poor transfer of vitamin K across the placental barrier, their gastrointestinal tracts do not contain vitamin K producing bacteria, and breast milk is generally low in vitamin K<sup>1<\/sup>. As a result, it is recommended (and widely practiced) that all infants receive a vitamin K injection within 6 hours of birth<sup>2<\/sup>.<\/p>\n<p>Prolonged antibiotic treatment (which kills bacteria in the gastrointestinal tract) and lipid absorption problems can also lead to vitamin K deficiency<sup>3<\/sup>. Vitamin K deficient individuals have an increased risk of bleeding or hemorrhage. Remember that high levels of vitamin E intake can also interfere with vitamin K&#8217;s blood clotting function. It is believed that a vitamin E metabolite, with similar structure to the vitamin K quinones, antagonizes the action of vitamin K.<\/p>\n<p>Phylloquinone and menaquinone have no reported toxicities. However, menadione can cause liver damage<sup>1<\/sup>.<\/p>\n<p><b>References &amp; Links<\/b><\/p>\n<p>1. Gropper SS, Smith JL, Groff JL. (2008) Advanced nutrition and human metabolism. Belmont, CA: Wadsworth Publishing.<\/p>\n<p>2. Byrd-Bredbenner C, Moe G, Beshgetoor D, Berning J. (2009) Wardlaw&#8217;s perspectives in nutrition. New York, NY: McGraw-Hill.<\/p>\n<p>3. McGuire M, Beerman KA. (2011) Nutritional sciences: From fundamentals to food. Belmont, CA: Wadsworth Cengage Learning.<\/p>\n<\/div>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-989\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">CC licensed content, Shared previously<\/div><ul class=\"citation-list\"><li>Kansas State University Human Nutrition Flexbook. <strong>Authored by<\/strong>: Brian Lindshield. <strong>Provided by<\/strong>: Kansas State University. <strong>Located at<\/strong>: <a target=\"_blank\" href=\"http:\/\/goo.gl\/vOAnR\">http:\/\/goo.gl\/vOAnR<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY: Attribution<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":5759,"menu_order":19,"template":"","meta":{"_candela_citation":"[{\"type\":\"cc\",\"description\":\"Kansas State University Human Nutrition Flexbook\",\"author\":\"Brian Lindshield\",\"organization\":\"Kansas State University\",\"url\":\"goo.gl\/vOAnR\",\"project\":\"\",\"license\":\"cc-by\",\"license_terms\":\"\"}]","CANDELA_OUTCOMES_GUID":"","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-989","chapter","type-chapter","status-publish","hentry"],"part":883,"_links":{"self":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/989","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/users\/5759"}],"version-history":[{"count":3,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/989\/revisions"}],"predecessor-version":[{"id":1837,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/989\/revisions\/1837"}],"part":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/parts\/883"}],"metadata":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/989\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/media?parent=989"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapter-type?post=989"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/contributor?post=989"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/license?post=989"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}