Intern's Interpretation of Assessment Data:Mrs. Abby Normal, a 60-year-old female with DM2, HTN,dyslipidemia, and foot cellulitis, exhibits elevated random andfasting glucose levels, along with a high Alc of 8.3%whichindicate long-term uncontrolled blood sugar. She has a high-carbdiet, both at home and in the hospital, contributing touncontrolled blood sugar. Her fluid intake is adequate.Medications include IV Cipro, Lantus, metformin, metoprolol,and simvastatin, with potential drug-nutrient interactions. HerBMI is 28 kg/m^2. She needs education on diabetesmanagement. Estimated energy needs are 1064 kcal/day, with 78g protein/day and 2300-2400 ml fluid/day. Interventions focuson diet modifications and medication management. At the follow-up visit the next day, you plan to instruct Mrs.Normal on Carb Counting.1. Are there any questions you want to ask Mrs. Normal beforeyou begin the nutrition education? Is there any furtherinformation that will help you educate Mrs. Normal?

"Good morning, Mrs. Normal. Before we begin our discussion on carb counting. I would like to ask a…

Answered: At the follow-up visit the next day,…

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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Daniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care. Why might Daniel’s doctor ask him about his diet? Briefly explain how his diet might be related to his condition.
Daniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care. Daniel has small stones that are lodged in the left renal pelvis. His doctor recommends passing them naturally. Which of the following choices describes the path that these stones must take to exit the…
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Daniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care.List and briefly describe 2 possible complications.
The ASPEN/AND Consensus Statement on Malnutrition defines three etiology-based types of malnutrition. Complete this table from Consensus Statement Figure 1. MEMORIZE THIS CHART Is inflammation present? Type of Malnutrition No Starvation-Related Example of disease states or conditions associated with this type of malnutrition Pure chronic starvation, Anorexia Nervosa Yes, Mild to Moderate Degree Chronic Disease-Related Organ failure, pancreatic cancer, RA, sarcopenic obesity Yes, Marked Inflammatory Acute disease or injury- Major infection, burns, trauma, Response closed head injury related Complete these tables from Consensus Statement Table 1 to determine malnutrition severity. MEMORIZE THESE CHARTS Malnutrition in the Context of Acute Illness or Injury Malnutrition in the Context of Chronic Illness Malnutrition in the Context of Social or Environmental Clinical Characteristic Energy Intake **EER = estimated energy requirement Circumstances Nonsevere Severe (Moderate) Nonsevere Severe…
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At the follow-up visit the next day, you plan to instruct Mrs. Normal on Carb Counting. 1. Are there any questions you want to ask Mrs. Normal before you begin the nutrition education? Is there any further information that will help you educate Mrs. Normal?