Answered: is a 48 YO F who recently had an…

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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. S is a 48 YO F who recently had an esophagoduodenoscopy (EGD) that showed a lesion and a narrowing of the distal esophagus just above the lower esophageal sphincter. A biopsy was taken that proved to be positive for squamous cell adenocarcinoma. Mrs. S was admitted to the hospital for more tests with a plan for possible surgery. Her height is 5’6” with weight of 148 lbs on admission. Her UBW (usual body weight) was 175 lbs. Mrs. S’s physician decided to initiate chemotherapy in an attempt to shrink the tumor prior to surgery. The physician also consulted the surgical dietitian in order to start TPN as the patient could not swallow or have an enteral feeding tube placed due to the tumor. He ordered D5NS at 50 ml/h until the TPN was started. Calculate the total calories from protein and lipid. How many kcals will be needed from carbohydrate based on the patient’s total calorie requirement? How many grams of carbohydrate will be needed to meet the patient’s needs? Assume the D5NS will be D/C’d when TPN is administered

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