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A 55 year old adult female just saw her PCP and was instructed to make some diet/lifestyle changes based on her recent labs. She is pretty stressed out as she has had some major stressful life events lately and is now the caretaker for her aging parents. Her father just had a stroke and was recently hospitalized. She has been driving them to their doctors appointments on a regular basis. She works from home so has been working long hours in between the doctors visits. She feels really busy and hasn't had the time for activity. In the past she has liked going to zumba. Breakfast: Cold cereal-Life and milk or an English muffin with butter, strawberry jam and banana. Lunch: maybe a low fat yogurt or protein bar if she remembers to bring it with her otherwise candy bars, vending machine snacks like m&m's, cookies or potato chips Dinner: fast food like 2 tacos from Taco Bell, Couple slices of pizza from hospital cafeteria or sandwich at home like tuna fish or turkey sandwich with lettuce on white/wheat bread. Beverages: glass of wine 1-2/week, regular soda 1-2/week from vending machine (for caffeine as she gets tired sometimes midday), 1 cup coffee with 1 Tbsp cream, water 16oz/day Objective: Labs: Triglycerides 190, Blood pressure 145/90, HDL 35, LDL Cholesterol 150, Total Cholesterol 200 5'5", 17010 1. What labs are abnormal? What is the goal for each of them? Make sure to include a calculation of HDL to Total Cholesterol. 2. Name three nutrition recommendations for this patient to address these abnormal labs. 3. For each of the above nutrition recommendations give the patient a very specific idea of how they could implement into their life/diet.

A 55 year old adult female just saw her PCP and was instructed to make some diet/lifestyle changes based on her recent labs. She is pretty stressed out as she has had some major stressful life events lately and is now the caretaker for her aging parents. Her father just had a stroke and was recently hospitalized. She has been driving them to their doctors appointments on a regular basis. She works from home so has been working long hours in between the doctors visits. She feels really busy and hasn't had the time for activity. In the past she has liked going to zumba. Breakfast: Cold cereal-Life and milk or an English muffin with butter, strawberry jam and banana. Lunch: maybe a low fat yogurt or protein bar if she remembers to bring it with her otherwise candy bars, vending machine snacks like m&m's, cookies or potato chips Dinner: fast food like 2 tacos from Taco Bell, Couple slices of pizza from hospital cafeteria or sandwich at home like tuna fish or turkey sandwich with lettuce on white/wheat bread. Beverages: glass of wine 1-2/week, regular soda 1-2/week from vending machine (for caffeine as she gets tired sometimes midday), 1 cup coffee with 1 Tbsp cream, water 16oz/day Objective: Labs: Triglycerides 190, Blood pressure 145/90, HDL 35, LDL Cholesterol 150, Total Cholesterol 200 5'5", 17010 1. What labs are abnormal? What is the goal for each of them? Make sure to include a calculation of HDL to Total Cholesterol. 2. Name three nutrition recommendations for this patient to address these abnormal labs. 3. For each of the above nutrition recommendations give the patient a very specific idea of how they could implement into their life/diet.

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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A 55 year old adult female just saw her PCP and was instructed to make some diet/lifestyle changes based on her recent labs. She is pretty stressed out as she has had some major stressful life events lately and is now the caretaker for her aging parents. Her father just had a stroke and was recently hospitalized. She has been driving them to their doctors appointments on a regular basis. She works from home so has been working long hours in between the doctors visits. She feels really busy and hasn't had the time for activity. In the past she has liked going to zumba. Breakfast: Cold cereal-Life and milk or an English muffin with butter, strawberry jam and banana. Lunch: maybe a low fat yogurt or protein bar if she remembers to bring it with her otherwise candy bars, vending machine snacks like m&m's, cookies or potato chips Dinner: fast food like 2 tacos from Taco Bell, Couple slices of pizza from hospital cafeteria or sandwich at home like tuna fish or turkey sandwich with lettuce on white/wheat bread. Beverages: glass of wine 1-2/week, regular soda 1-2/week from vending machine (for caffeine as she gets tired sometimes midday), 1 cup coffee with 1 Tbsp cream, water 16oz/day Objective: Labs: Triglycerides 190, Blood pressure 145/90, HDL 35, LDL Cholesterol 150, Total Cholesterol 200 5'5", 17010 1. What labs are abnormal? What is the goal for each of them? Make sure to include a calculation of HDL to Total Cholesterol. 2. Name three nutrition recommendations for this patient to address these abnormal labs. 3. For each of the above nutrition recommendations give the patient a very specific idea of how they could implement into their life/diet.
Transcribed Image Text:A 55 year old adult female just saw her PCP and was instructed to make some diet/lifestyle changes based on her recent labs. She is pretty stressed out as she has had some major stressful life events lately and is now the caretaker for her aging parents. Her father just had a stroke and was recently hospitalized. She has been driving them to their doctors appointments on a regular basis. She works from home so has been working long hours in between the doctors visits. She feels really busy and hasn't had the time for activity. In the past she has liked going to zumba. Breakfast: Cold cereal-Life and milk or an English muffin with butter, strawberry jam and banana. Lunch: maybe a low fat yogurt or protein bar if she remembers to bring it with her otherwise candy bars, vending machine snacks like m&m's, cookies or potato chips Dinner: fast food like 2 tacos from Taco Bell, Couple slices of pizza from hospital cafeteria or sandwich at home like tuna fish or turkey sandwich with lettuce on white/wheat bread. Beverages: glass of wine 1-2/week, regular soda 1-2/week from vending machine (for caffeine as she gets tired sometimes midday), 1 cup coffee with 1 Tbsp cream, water 16oz/day Objective: Labs: Triglycerides 190, Blood pressure 145/90, HDL 35, LDL Cholesterol 150, Total Cholesterol 200 5'5", 17010 1. What labs are abnormal? What is the goal for each of them? Make sure to include a calculation of HDL to Total Cholesterol. 2. Name three nutrition recommendations for this patient to address these abnormal labs. 3. For each of the above nutrition recommendations give the patient a very specific idea of how they could implement into their life/diet.
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