CHF Case Study Patient Data Anthropometrics Diet Height: 5'6" Weight: 152 lbs at doctor's office, 158 lbs on day of admission, 158 lbs today (152 lbs UBW) Mr. Nick O'Time DOB: 05/01/1950 New Mexico State University Dietetic Internship Labs Meds Intake Low Sodium Sodium, serum: 110 -Furosemide 25-50% of tray mmol/L (Lasix) 1,300-1,700 mL Osmolality, serum: -Prilosec per day 250 mOsm/Kg H2O A-Assessment 7/24 Reason for Nutrition Assessment: MR NICK O' TIME WAS REFERRED TO THE RD FROM THE PCP: SOB, EDEMA Client History (CH) note which diagnosis is the primary or admitting diagnosis CH-2.1.1 CH-1.1.1 CH-1.1.3 CH-114 CH-1.1.6 Patient chief nutrition complaint: LACK OF APPETITE/SOB/WEAKNESS Age: 69 Sex MALE Race: CAUCASIAN Language: ENGLISH Patient/Client/Family Medical/Health History: CH-2.1.1 CH-2.1.2 CH-2.1.2 Social History: CH-3.1.2 Patient chief nutrition complaint: LACK OF APPETITE/SOB/WEAKNESS Cardiovascular: CHF (PRIMARY) Cardopvascular: PYROSIS Living/housing situation (specify): LIVES ALONE Social and medical support (specify) PT DOES COOKING/SOMETIMES NEIGHBOR WILL BRING FOOD/SOMETIMES WILL GO OUT TO EAT WITH FRIENDS/SON Geographic location of home (specify): LAS CRUCES Anthropometric Measurements (AD): CH-3.1.4 CH-3.1.5 AD-1117 AD-1.1.2.1 AD-1.1.25 Usual stated body weight (UBW): 69 KG (152#) AD-1.1.5.1 Stated Height: 168 CM (5'6") Measured Weight: 71.8 KG (158#) BMI: 24.5, NORMAL (FROM UBW) Nutrition Focused Physical Findings (PD): PD-1.1.5 PD-1.15.9 PD-1.16.2 PD-1.1.18 Digestive system: PT LACK OF APPETITE >1 WEEK Constipation: PT C/O CONSTIPATION FOR THE LAST FEW DAYS +1 pitting edema: TO LEGS Teeth PT STATES MISSING TEETH BUT ABLE TO CHEW AND SWALLOW FOOD Vital signs PD-1.1.21.1 PD-1.1.21.2 Blood pressure, systolic 150 mmHg Blood pressure, diastolic: 92 mmHg Food/Nutrition Related History (FH) FH-1.2.1.1 FH-1.2.2.1 FH-1.2.2.2 FH-1.2.2.3 Oral fluid estimated intake in 24 hours: 1300-1700 ML FLUID/DAY Estimated amount of food: 25-50% OF TRAY Types of food/meals. PRE-SELECT MENU Meal/snack pattern: 3 MEALS/1 AFTERNOON SNACK PER DAY AT HOME, BUT NO SNACKS AND 3 SMALLER MEALS/DAY FOR THE PAST WEEK FH-2112 Modified diet order: LOW SODIUM DIET 13-46/DAY) ON 05/02

Curren'S Math For Meds: Dosages & Sol
11th Edition
ISBN:9781305143531
Author:CURREN
Publisher:CURREN
Chapter11: Measuring Insulin Dosages
Section: Chapter Questions
Problem 5.2P
icon
Related questions
Question

You reviewed the patient's medical chart. Now, conduct a nutrition assessment and nutrition focused physical exam on this patient. Keep in mind possible issues this patient might face based on diagnosis lab values. You might want to review your patient assessment template. You will also need to be familiar with lactose-free shakes to recommend to the patient.

 

 

CHF Case
Study
Patient Data
Anthropometrics
Diet
Height: 5'6"
Weight: 152 lbs at doctor's
office, 158 lbs on day of
admission, 158 lbs today
(152 lbs UBW)
Mr. Nick O'Time
DOB: 05/01/1950
New Mexico State University Dietetic Internship
Labs
Meds
Intake
Low Sodium
Sodium, serum: 110
-Furosemide
25-50% of tray
mmol/L
(Lasix)
1,300-1,700 mL
Osmolality, serum:
-Prilosec
per day
250 mOsm/Kg H2O
Transcribed Image Text:CHF Case Study Patient Data Anthropometrics Diet Height: 5'6" Weight: 152 lbs at doctor's office, 158 lbs on day of admission, 158 lbs today (152 lbs UBW) Mr. Nick O'Time DOB: 05/01/1950 New Mexico State University Dietetic Internship Labs Meds Intake Low Sodium Sodium, serum: 110 -Furosemide 25-50% of tray mmol/L (Lasix) 1,300-1,700 mL Osmolality, serum: -Prilosec per day 250 mOsm/Kg H2O
A-Assessment 7/24
Reason for Nutrition Assessment: MR NICK O' TIME WAS REFERRED TO THE RD FROM THE PCP: SOB, EDEMA
Client History (CH) note which diagnosis is the primary or admitting diagnosis
CH-2.1.1
CH-1.1.1
CH-1.1.3
CH-114
CH-1.1.6
Patient chief nutrition complaint: LACK OF APPETITE/SOB/WEAKNESS
Age: 69
Sex MALE
Race: CAUCASIAN
Language: ENGLISH
Patient/Client/Family Medical/Health History:
CH-2.1.1
CH-2.1.2
CH-2.1.2
Social History:
CH-3.1.2
Patient chief nutrition complaint: LACK OF APPETITE/SOB/WEAKNESS
Cardiovascular: CHF (PRIMARY)
Cardopvascular: PYROSIS
Living/housing situation (specify): LIVES ALONE
Social and medical support (specify) PT DOES COOKING/SOMETIMES NEIGHBOR WILL BRING
FOOD/SOMETIMES WILL GO OUT TO EAT WITH FRIENDS/SON
Geographic location of home (specify): LAS CRUCES
Anthropometric Measurements (AD):
CH-3.1.4
CH-3.1.5
AD-1117
AD-1.1.2.1
AD-1.1.25
Usual stated body weight (UBW): 69 KG (152#)
AD-1.1.5.1
Stated Height: 168 CM (5'6")
Measured Weight: 71.8 KG (158#)
BMI: 24.5, NORMAL (FROM UBW)
Nutrition Focused Physical Findings (PD):
PD-1.1.5
PD-1.15.9
PD-1.16.2
PD-1.1.18
Digestive system: PT LACK OF APPETITE >1 WEEK
Constipation: PT C/O CONSTIPATION FOR THE LAST FEW DAYS
+1 pitting edema: TO LEGS
Teeth PT STATES MISSING TEETH BUT ABLE TO CHEW AND SWALLOW FOOD
Vital signs
PD-1.1.21.1
PD-1.1.21.2
Blood pressure, systolic 150 mmHg
Blood pressure, diastolic: 92 mmHg
Food/Nutrition Related History (FH)
FH-1.2.1.1
FH-1.2.2.1
FH-1.2.2.2
FH-1.2.2.3
Oral fluid estimated intake in 24 hours: 1300-1700 ML FLUID/DAY
Estimated amount of food: 25-50% OF TRAY
Types of food/meals. PRE-SELECT MENU
Meal/snack pattern: 3 MEALS/1 AFTERNOON SNACK PER DAY AT HOME, BUT NO SNACKS AND 3
SMALLER MEALS/DAY FOR THE PAST WEEK
FH-2112
Modified diet order: LOW SODIUM DIET 13-46/DAY) ON 05/02
Transcribed Image Text:A-Assessment 7/24 Reason for Nutrition Assessment: MR NICK O' TIME WAS REFERRED TO THE RD FROM THE PCP: SOB, EDEMA Client History (CH) note which diagnosis is the primary or admitting diagnosis CH-2.1.1 CH-1.1.1 CH-1.1.3 CH-114 CH-1.1.6 Patient chief nutrition complaint: LACK OF APPETITE/SOB/WEAKNESS Age: 69 Sex MALE Race: CAUCASIAN Language: ENGLISH Patient/Client/Family Medical/Health History: CH-2.1.1 CH-2.1.2 CH-2.1.2 Social History: CH-3.1.2 Patient chief nutrition complaint: LACK OF APPETITE/SOB/WEAKNESS Cardiovascular: CHF (PRIMARY) Cardopvascular: PYROSIS Living/housing situation (specify): LIVES ALONE Social and medical support (specify) PT DOES COOKING/SOMETIMES NEIGHBOR WILL BRING FOOD/SOMETIMES WILL GO OUT TO EAT WITH FRIENDS/SON Geographic location of home (specify): LAS CRUCES Anthropometric Measurements (AD): CH-3.1.4 CH-3.1.5 AD-1117 AD-1.1.2.1 AD-1.1.25 Usual stated body weight (UBW): 69 KG (152#) AD-1.1.5.1 Stated Height: 168 CM (5'6") Measured Weight: 71.8 KG (158#) BMI: 24.5, NORMAL (FROM UBW) Nutrition Focused Physical Findings (PD): PD-1.1.5 PD-1.15.9 PD-1.16.2 PD-1.1.18 Digestive system: PT LACK OF APPETITE >1 WEEK Constipation: PT C/O CONSTIPATION FOR THE LAST FEW DAYS +1 pitting edema: TO LEGS Teeth PT STATES MISSING TEETH BUT ABLE TO CHEW AND SWALLOW FOOD Vital signs PD-1.1.21.1 PD-1.1.21.2 Blood pressure, systolic 150 mmHg Blood pressure, diastolic: 92 mmHg Food/Nutrition Related History (FH) FH-1.2.1.1 FH-1.2.2.1 FH-1.2.2.2 FH-1.2.2.3 Oral fluid estimated intake in 24 hours: 1300-1700 ML FLUID/DAY Estimated amount of food: 25-50% OF TRAY Types of food/meals. PRE-SELECT MENU Meal/snack pattern: 3 MEALS/1 AFTERNOON SNACK PER DAY AT HOME, BUT NO SNACKS AND 3 SMALLER MEALS/DAY FOR THE PAST WEEK FH-2112 Modified diet order: LOW SODIUM DIET 13-46/DAY) ON 05/02
Expert Solution
steps

Step by step

Solved in 2 steps

Blurred answer
Similar questions
  • SEE MORE QUESTIONS
Recommended textbooks for you
Curren'S Math For Meds: Dosages & Sol
Curren'S Math For Meds: Dosages & Sol
Nursing
ISBN:
9781305143531
Author:
CURREN
Publisher:
Cengage
Case Studies In Health Information Management
Case Studies In Health Information Management
Biology
ISBN:
9781337676908
Author:
SCHNERING
Publisher:
Cengage