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Alb 3.8 mg/dL, Prealbumin 22 mg/dL; Na 137 mmol/L, Potassium 3.2 mmol/L, CI 104 mmol/L, Hgb 14 mg/dL, Het 37%, Ferritin 159 ng/mL, Glu 48 mg/dL. 3. Evaluate her labs. Which are not within normal range? Nutrition Diagnosis: Identify two nutrition problems. Next identify the etiology of each nutrition problem. Finally, identify the signs and symptoms that support the evidence for the nutrition problems. 4. 5. Write out your PES statements. 6. Based on your nutritional assessment, do you think NL is at risk for an eating disorder? 7. What interventions would you recommend at this time? 8. What are your recommendations for monitoring/evaluation?

Alb 3.8 mg/dL, Prealbumin 22 mg/dL; Na 137 mmol/L, Potassium 3.2 mmol/L, CI 104 mmol/L, Hgb 14 mg/dL, Het 37%, Ferritin 159 ng/mL, Glu 48 mg/dL. 3. Evaluate her labs. Which are not within normal range? Nutrition Diagnosis: Identify two nutrition problems. Next identify the etiology of each nutrition problem. Finally, identify the signs and symptoms that support the evidence for the nutrition problems. 4. 5. Write out your PES statements. 6. Based on your nutritional assessment, do you think NL is at risk for an eating disorder? 7. What interventions would you recommend at this time? 8. What are your recommendations for monitoring/evaluation?

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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NL is a 16-year-old junior in high school who competes on the high school track and cross-country teams. She is an endurance athlete competing at regional and state events. After a training run today, she complained of dizziness. Her mother states that NL has lost a lot of weight over the past 6 months. Does not know the exact amount but 7 months ago NL started training for her first marathon. The patient states she has not lost enough weight and believes her performance has been hampered by her weight. The mother states the patient trains constantly, even going out for additional runs after homework in the evening. Nutrition Assessment: Food recall: B: 8 oz. milk, bagel with 1 tsp. peanut butter L: 1c milk, banana, pretzels -about 20, water D: 3 oz. chicken, 1 c vegetable, 2 C salad without dressing, 1 c skim milk Pt's mother says the pt. rarely eats with the family and often will not eat dinner until after 8 p.m. NL skips meals a few times/week. Pt states she doesn't like red meat or cheese and never adds salt or sugar to food. Social: She trains 2.5 hours/day, 7 days per week. Includes a minimum of 2 hours of running at 8 miles/hour with weight lifting at least four times per week for 30-45 minutes. Has one sibling. Has family support. Using her diet history, estimate her daily energy intake. Compare this with her estimated energy and protein requirements. 1. Daily Energy Intake: 7577
Transcribed Image Text:NL is a 16-year-old junior in high school who competes on the high school track and cross-country teams. She is an endurance athlete competing at regional and state events. After a training run today, she complained of dizziness. Her mother states that NL has lost a lot of weight over the past 6 months. Does not know the exact amount but 7 months ago NL started training for her first marathon. The patient states she has not lost enough weight and believes her performance has been hampered by her weight. The mother states the patient trains constantly, even going out for additional runs after homework in the evening. Nutrition Assessment: Food recall: B: 8 oz. milk, bagel with 1 tsp. peanut butter L: 1c milk, banana, pretzels -about 20, water D: 3 oz. chicken, 1 c vegetable, 2 C salad without dressing, 1 c skim milk Pt's mother says the pt. rarely eats with the family and often will not eat dinner until after 8 p.m. NL skips meals a few times/week. Pt states she doesn't like red meat or cheese and never adds salt or sugar to food. Social: She trains 2.5 hours/day, 7 days per week. Includes a minimum of 2 hours of running at 8 miles/hour with weight lifting at least four times per week for 30-45 minutes. Has one sibling. Has family support. Using her diet history, estimate her daily energy intake. Compare this with her estimated energy and protein requirements. 1. Daily Energy Intake: 7577
15 6. Labs: Alb 3.8 mg/dL, Prealbumin 22 mg/dL; Na 137 mmol/L, Potassium 3.2 mmol/L, Cl 104 mmol/L, Hgb 14 mg/dL, Hct 37%, Ferritin 159 ng/mL, Glu 48 mg/dL. 3. Evaluate her labs. Which are not within normal range? Nutrition Diagnosis: 4. Identify two nutrition problems. Next identify the etiology of each nutrition problem. Finally, identify the signs and symptoms that support the evidence for the nutrition problems. 5. Write out your PES statements. 6. Based on your nutritional assessment, do you think NL is at risk for an eating disorder? 7. What interventions would you recommend at this time? 8. What are your recommendations for monitoring/evaluation?
Transcribed Image Text:15 6. Labs: Alb 3.8 mg/dL, Prealbumin 22 mg/dL; Na 137 mmol/L, Potassium 3.2 mmol/L, Cl 104 mmol/L, Hgb 14 mg/dL, Hct 37%, Ferritin 159 ng/mL, Glu 48 mg/dL. 3. Evaluate her labs. Which are not within normal range? Nutrition Diagnosis: 4. Identify two nutrition problems. Next identify the etiology of each nutrition problem. Finally, identify the signs and symptoms that support the evidence for the nutrition problems. 5. Write out your PES statements. 6. Based on your nutritional assessment, do you think NL is at risk for an eating disorder? 7. What interventions would you recommend at this time? 8. What are your recommendations for monitoring/evaluation?
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