Patient #5: April Showers; DOB 1/20/19** Admission: Mon 2/1, Today is 2/2 Referral to RDN: from PCP per CABG protocol Med Hx: 64 YOF S/P MI, HTN, non-emergent CABGx2 pending for 2/3 Anthropometrics: Ht: 5'8" Wt: 162 lbs Integument: intact Labs: Total Chol 204 LDL 127 Meds: Scheduled: Lisinopril, Atorvastatin prn meds: morphine, nitroglycerin Home meds that are being continued: lisinopril, atorvastatin Home med being held: low dose aspirin Patient #5: April Showers; DOB 1/20/19** Food Allergies: fish, peanuts Diet: No Added Salt Intake: Food: 2/1: EM-10% 2/2: Brk 75% NM-90% Fluid: no 24-hour data available for fluid intake April Showers BMI: 24.6 Not a good time to instruct pt before surgery (pt nervous) • Pt never been instructed on a heart healthy diet (pt wants education) Intolerance- spicy food (chile;upsets stomach)
Patient #5: April Showers; DOB 1/20/19** Admission: Mon 2/1, Today is 2/2 Referral to RDN: from PCP per CABG protocol Med Hx: 64 YOF S/P MI, HTN, non-emergent CABGx2 pending for 2/3 Anthropometrics: Ht: 5'8" Wt: 162 lbs Integument: intact Labs: Total Chol 204 LDL 127 Meds: Scheduled: Lisinopril, Atorvastatin prn meds: morphine, nitroglycerin Home meds that are being continued: lisinopril, atorvastatin Home med being held: low dose aspirin Patient #5: April Showers; DOB 1/20/19** Food Allergies: fish, peanuts Diet: No Added Salt Intake: Food: 2/1: EM-10% 2/2: Brk 75% NM-90% Fluid: no 24-hour data available for fluid intake April Showers BMI: 24.6 Not a good time to instruct pt before surgery (pt nervous) • Pt never been instructed on a heart healthy diet (pt wants education) Intolerance- spicy food (chile;upsets stomach)
Basic Clinical Laboratory Techniques 6E
6th Edition
ISBN:9781133893943
Author:ESTRIDGE
Publisher:ESTRIDGE
Chapter6: Basic Clinical Chemistry
Section6.4: Point-of-care Testing
Problem 8RQ
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Question
After Mrs. Shower’s CABG, she will be in the ICU for 4 to 6 days if there aren’t any complications. She will then be transferred back to the cardiac unit and stay a few more days before being discharged. As we discussed in class, nutrition education prior to the surgery is not appropriate as it is likely that the Patient will not be able to focus on the education.
When she returns to the cardiac unit, you can obtain a detailed diet history for her usual intake at home:
1. Describe what nutrition education you will provide.
2. What are your goals for the education?
3. Describe the return demonstration you will ask Mrs. Showers to show that she understands the education.
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