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2. John is a 46-year old Asian male receiving nasogastric (NG) tube feedings after a recent...
Case Questions - Enteral and Parenteral Nutrition 1. Edna is a 67-year old black female and...
Case Questions - Enteral and Parenteral Nutrition 1. Edna is a 67-year old black female and long-term care resident receiving Jevity 1.2 @ 80 ml/hour x 24 hours/day. Height: 5'4" Weight: 155 lb. UBW: 147 lb. Pertinent Labs: Glucose - 171; Na - 153; BUN - 31 Pertinent Meds: Lisinopril, Colace, MVI, Prilosec (prn) GI Status: Bowel sounds - positive, abdomen - soft, mildly distended, last BM – 24 hours ago. A. What is her BMI and interpretation? B. Calculate...
Lab 8: Exercises EXERCISE 8.1 GM is a 20 y/o male who was admitted to the...
Lab 8: Exercises EXERCISE 8.1 GM is a 20 y/o male who was admitted to the ICU for severe closed head injury and multiple fractures resulting from a fighting engagement at the bar on his birthday. According to his friends, his Ht is 178 cm. His measured Wt at admission is 76 kg. His lab values were normal except for low Hgb and Hct due to bleeding (which was well controlled). He was unconscious, thus was tube fed for one...
Case 2 Ricardo is a 36 year old African American male who had a recent colonoscopy...
Case 2 Ricardo is a 36 year old African American male who had a recent colonoscopy due to paternal history of colon cancer in his immediate family. He was re-admitted into the surgical ICU of the hospital for a medical error made during his colonoscopy. During the procedure, the gastroenterologist accidently punctured his colon. This left him very septic with intractable nausea and vomiting. At 5'11", his pre- colonoscopy admission weight was 181 lb. and was re-admitted into the surgical...
Ricardo is a 36 year old African American male who had a recent colonoscopy due to...
Ricardo is a 36 year old African American male who had a recent colonoscopy due to paternal history of colon cancer in his immediate family. He was re-admitted into the surgical ICU of the hospital for a medical error made during his colonoscopy. During the procedure, the gastroenterologist accidently punctured his colon. This left him very septic with intractable nausea and vomiting. At 5'11", his pre-colonoscopy admission weight was 181 lb. and was re- admitted into the surgical ICU two...
Calculations: A 60 y.o. male is admitted with pneumonia; ht. 6’2”, wt. 198#, fed Jevity 1.5...
Calculations: A 60 y.o. male is admitted with pneumonia; ht. 6’2”, wt. 198#, fed Jevity 1.5 via enteral feeding tube, with a goal to maintain current weight. Calculate the following to determine how to provide the best nutrition care. For this problem, base his nutritional requirements on 30 kcal/kg; 1.2 gm.pro/kg; water 1 ml/kcal in your calculations. Show your work. (10 points) Kcalories requirement Protein requirement (grams) Water requirement (ml) Volume of formula required to meet nutritional requirements ___________ ml;...
3. Karol is a 38-year old White female experiencing severe GI complications and intractable N/V/D for...
3. Karol is a 38-year old White female experiencing severe GI complications and intractable N/V/D for the past three weeks post-op. Patient underwent bariatric surgery one month prior to developing these symptoms. Her surgeon orders a nutrition consult for total parenteral nutrition (TPN) orders after recent PICC line placement. Height: 5'6" Weight: 226 lb. UBW: 270 lb. Pertinent Labs: K+ - 3.3; Na - 149; Glucose - 83; Albumin - 2.6 Pertinent Meds: Daily MVI, Aspirin, Vitamin B12, 10,000 mcg...
Simulated Patient’s Name in EHR: Anne Newton Brief History: This is an 84-year-old female admitted two...
Simulated Patient’s Name in EHR: Anne Newton Brief History: This is an 84-year-old female admitted two days ago with a diagnosis of Adult Failure to Thrive, dehydration, and weight loss. The patient has dementia/advanced Alzheimer’s disease, and dysphagia due to a previous stroke. She was receiving intermittent PEG tube feedings at home, which have continued since her admission. Orders have been written for her to be started on continuous tube feedings today. You are the nurse on the 7a-7p shifts...
Mr. Angelo is a 65 year-old male admitted to the hospital as level 2 trauma with...
Mr. Angelo is a 65 year-old male admitted to the hospital as level 2 trauma with 40% total body surface area (TBSA) burns after being involved in a trailer fire. He is admitted to the surgical intensive care unit for management of his burn injury. Anthropometric Measurements: Height: 72” Weight 160 lbs NFPA: Poor skin turgor Burns involving entire face and body Laboratory values: Albumin 2.1 g/dL (normal 3.5 -5 g/dL) Prealbumin 12 mg/dL (normal: 18 -35 mg/dL) Diet: NPO....
10) You have a 55 year old male in LTC facility that has a PEG tube. Height is 6 ‘2"and weight is 200 lbs. The pati...
10) You have a 55 year old male in LTC facility that has a PEG tube. Height is 6 ‘2"and weight is 200 lbs. The patient is getting enteral feeding. You perform all the necessary calculations and determine his BEE is 1884 Kcal. You do an adjustment to the BEE of 1.2. You do an adjustment to the Protein requirements of 1.3. You decide to use Boost Plus which is 1.52 Kcal /ml. It has 78% free water in each...
NTR444/544: MNT-II In-Class Case Study Total: 8 points Mr. Neely is a 58-year-old male diagnosed with...
NTR444/544: MNT-II In-Class Case Study Total: 8 points Mr. Neely is a 58-year-old male diagnosed with stage IV squamous cell carcinoma of the right anterior tongue. The cancer has been found in the lymph but has not metastasized to other organs. The patient is s/p partial glossectomy with right neck dissection and PEG tube placement, currently post-op day 2. The dietitian has been consulted to manage enteral support. The patient reports a 24-pound unintentional weight loss in the last 3...
Case Questions - Enteral and Parenteral Nutrition 1. Edna is a 67-year old black female and long-term care resident receiving Jevity 1.2 @ 80 ml/hour x 24 hours/day. Height: 5'4" Weight: 155 lb. UBW: 147 lb. Pertinent Labs: Glucose - 171; Na - 153; BUN - 31 Pertinent Meds: Lisinopril, Colace, MVI, Prilosec (prn) GI Status: Bowel sounds - positive, abdomen - soft, mildly distended, last BM – 24 hours ago. A. What is her BMI and interpretation? B. Calculate...
Lab 8: Exercises EXERCISE 8.1 GM is a 20 y/o male who was admitted to the ICU for severe closed head injury and multiple fractures resulting from a fighting engagement at the bar on his birthday. According to his friends, his Ht is 178 cm. His measured Wt at admission is 76 kg. His lab values were normal except for low Hgb and Hct due to bleeding (which was well controlled). He was unconscious, thus was tube fed for one...
Case 2 Ricardo is a 36 year old African American male who had a recent colonoscopy due to paternal history of colon cancer in his immediate family. He was re-admitted into the surgical ICU of the hospital for a medical error made during his colonoscopy. During the procedure, the gastroenterologist accidently punctured his colon. This left him very septic with intractable nausea and vomiting. At 5'11", his pre- colonoscopy admission weight was 181 lb. and was re-admitted into the surgical...
Ricardo is a 36 year old African American male who had a recent colonoscopy due to paternal history of colon cancer in his immediate family. He was re-admitted into the surgical ICU of the hospital for a medical error made during his colonoscopy. During the procedure, the gastroenterologist accidently punctured his colon. This left him very septic with intractable nausea and vomiting. At 5'11", his pre-colonoscopy admission weight was 181 lb. and was re- admitted into the surgical ICU two...
3. Karol is a 38-year old White female experiencing severe GI complications and intractable N/V/D for the past three weeks post-op. Patient underwent bariatric surgery one month prior to developing these symptoms. Her surgeon orders a nutrition consult for total parenteral nutrition (TPN) orders after recent PICC line placement. Height: 5'6" Weight: 226 lb. UBW: 270 lb. Pertinent Labs: K+ - 3.3; Na - 149; Glucose - 83; Albumin - 2.6 Pertinent Meds: Daily MVI, Aspirin, Vitamin B12, 10,000 mcg...
10) You have a 55 year old male in LTC facility that has a PEG tube. Height is 6 ‘2"and weight is 200 lbs. The patient is getting enteral feeding. You perform all the necessary calculations and determine his BEE is 1884 Kcal. You do an adjustment to the BEE of 1.2. You do an adjustment to the Protein requirements of 1.3. You decide to use Boost Plus which is 1.52 Kcal /ml. It has 78% free water in each...
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