A 45-year-old patient is receiving parenteral nutrition through a subclavian triple-lumen catheter. List and discuss several complications that may arise with the patient receiving parenteral nutrition.
Possible complications associated with parenteral nutrition
A 45-year-old patient is receiving parenteral nutrition through a subclavian triple-lumen catheter. List and discuss several...
2. Why was this patient started on total parenteral nutrition (TPN) rather than enteral feedings or peripheral parenteral nutrition (PPN)? Reese is a 36-year old woman who was diagnosed with Crohn's disease s ago. She was recently admitted to the hospital with an exacerbation of hn's disease. She was severely malnourished and was found to have plete bowel obstruction with multiple adhesions. She is 5'4" tall and weigh pounds, with a usual weight of 122 lbs. She is scheduled for...
Describe the purpose of total parenteral nutrition (TPN). Which patients may benefit from the use of TPN? Describe the nursing measures for the initiation of TPN. The patient receiving TPN therapy is at risk for complications from the infusion. What complications should the nurse anticipate? What signs/symptoms will help the nurse to identify the development of a complication? What are the nursing actions will be implemented if a complication develops? Patients with central line catheters (CLCs) are at risk for...
Mrs. Reese is a 36-year-old woman who was diagnosed with Crohn’s disease 2 years ago. She was recently admitted to the hospital with an exacerbation of her Crohn’s disease. She was severely malnourished and was found to have complete bowel obstruction with multiple adhesions. She is 5’ 4” tall and weighs 108 pounds, with a usual weight of 122 lbs. She is scheduled for surgery, and undergoes a small bowel resection to remove the diseased bowel and create a temporary...
Mrs. Reese is a 36-year-old woman who was diagnosed with Crohn’s disease two years ago. She was recently admitted to the hospital with an exacerbation of her Crohn’s disease. She was severely malnourished and was found to have complete bowel obstruction with multiple adhesions. She is 5’ 4” tall and weighs 108 pounds, with a usual weight of 122 lbs. She is scheduled for surgery, and undergoes a small bowel resection to remove the diseased bowel and create a temporary...
Ms. Jones is a 45-year-old patient who had a clipping of an aneurysm 5 days ago. At present, she is receiving mechanical ventilation and has a pulmonary artery catheter, arterial line, and ventriculostomy in place. Cerebral angiography performed today indicates that she is experiencing cerebral vasospasm. To reverse or overcome the vasospasm, she is started on oral nimodipine. Other treatments include fluid administration (hypervolemia) and medications to increase the blood pressure (hyptertension). Questions 1. When is a patient at greatest...
Case Study - Crohn's Disease and TPN Mrs. Reese is a 36-year-old woman who was diagnosed with Crohn's disease two years ago. She was recently admitted to the hospital with an exacerbation of her Crohn's disease. She was severely malnourished and was found to have complete bowel obstruction with multiple adhesions. She is 5' 4" tall and weighs 108 pounds, with a usual weight of 122 lbs. She is scheduled for surgery, and undergoes a small bowel resection to remove...
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...
its nutrition related, only answer if you really know it.
thanks
PES is nutrition related: P stands for problem, E is for
Etiology and S for Signs/Symptoms.
and be sure to answer the top question too.
Thanks
Shannon is a 29 year old female currently intubated and sedated in the ICU due to domestic abuse. Today is hospital day #3. She had surgery after being admitted from the emergency department to repair her small bowel, colon, liver and spleen due...
1. You are assigned to care for a 34-year-old female patient who has sustained second- and third-degree burns over her neck, chest, abdomen, and left arm. The burn injury occurred during a fire in her home; her spouse did not survive the fire, but, due to the patient’s critical condition, she is not aware of his death. She is currently in the surgical intensive care unit. Her body temperature is 36.6° C. Her pulse is 126. Her respiration rate is...
Sara is a 16 year old new patient presenting to your clinic to discuss starting contraception. She has no medical or surgical history. She has her mom and friend with her at the visit. Questions: 1. What is the first question or questions you should ask this patient prior to starting your assessment in order to build trust with this patient? 2. Does this patient require parental permission to obtain contraception? If her parents ask, are you allowed to tell...