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QUESTION 1 Calculate the patient's: 1. % IBW 2. % UBW 3. $ weight loss (Interpret her % weight loss as not significant, significant, or severe.) 4. BMI (Round BMI calculation to one decimal place.) Interpret her BMI. QUESTION 2 Estimate her resting energy expenditure using the Mifflin St. Jeor equation. Multiply by an activity factor for ambulatory patients engaging in light activity. REE (9.99* wt) + (6.25 * ht) - (4.92 * age) -161 Add 250-500 kcals to her RMR for weight gain. = QUESTION 3 Calculate her protein needs as 1.0-1.2 g/kg. QUESTION 4 List 2 additional questions you will ask as you obtain a diet history from EG. QUESTION 5 Provide two specific suggestions for this patient to increase kcals and protein while adhering to the dietary laws she follows.

QUESTION 1 Calculate the patient's: 1. % IBW 2. % UBW 3. $ weight loss (Interpret her % weight loss as not significant, significant, or severe.) 4. BMI (Round BMI calculation to one decimal place.) Interpret her BMI. QUESTION 2 Estimate her resting energy expenditure using the Mifflin St. Jeor equation. Multiply by an activity factor for ambulatory patients engaging in light activity. REE (9.99* wt) + (6.25 * ht) - (4.92 * age) -161 Add 250-500 kcals to her RMR for weight gain. = QUESTION 3 Calculate her protein needs as 1.0-1.2 g/kg. QUESTION 4 List 2 additional questions you will ask as you obtain a diet history from EG. QUESTION 5 Provide two specific suggestions for this patient to increase kcals and protein while adhering to the dietary laws she follows.

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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Read the case study and answer the questions. Instructions EG is a 76-year-old female who presents to your outpatient clinic. After her husband died 2 years ago, EG moved to the United States from Tel Aviv, Israel. She now lives with her adult son and his family in Tuscaloosa, Alabama. Her physician is concerned because she has experienced an unintentional weight loss over the past six months. EG is fluent in English, so a translator isn't necessary for your visit. However, she is unfamiliar with medical terminology and medical jargon. During your interview, you learn that EG strictly adheres to Kashrut, or the Jewish dietary laws. She typically eats 3 meals per day, but she finds large meals stressful and frustrating. "My family always tells me to eat more at my meals, but I feel full and tired quickly." Ht: 60" Wt: 93 lbs UBW: 115 lbs six months ago Visual acuity screen: WNL Dental health: partial upper dentures Blood pressure: 120/80 mm/Hg PMH: Not significant
Transcribed Image Text:Read the case study and answer the questions. Instructions EG is a 76-year-old female who presents to your outpatient clinic. After her husband died 2 years ago, EG moved to the United States from Tel Aviv, Israel. She now lives with her adult son and his family in Tuscaloosa, Alabama. Her physician is concerned because she has experienced an unintentional weight loss over the past six months. EG is fluent in English, so a translator isn't necessary for your visit. However, she is unfamiliar with medical terminology and medical jargon. During your interview, you learn that EG strictly adheres to Kashrut, or the Jewish dietary laws. She typically eats 3 meals per day, but she finds large meals stressful and frustrating. "My family always tells me to eat more at my meals, but I feel full and tired quickly." Ht: 60" Wt: 93 lbs UBW: 115 lbs six months ago Visual acuity screen: WNL Dental health: partial upper dentures Blood pressure: 120/80 mm/Hg PMH: Not significant
QUESTION 1 Calculate the patient's: 1. % IBW 2. % UBW 3. $ weight loss (Interpret her % weight loss as not significant, significant, or severe.) 4. BMI (Round BMI calculation to one decimal place.) Interpret her BMI. QUESTION 2 Estimate her resting energy expenditure using the Mifflin St. Jeor equation. Multiply by an activity factor for ambulatory patients engaging in light activity. REE = (9.99 * wt) + (6.25 * ht) - (4.92 * age) -161 Add 250-500 kcals to her RMR for weight gain. QUESTION 3 Calculate her protein needs as 1.0-1.2 g/kg. QUESTION 4 List 2 additional questions you will ask as you obtain a diet history from EG. QUESTION 5 Provide two specific suggestions for this patient to increase kcals and protein while adhering to the dietary laws she follows.
Transcribed Image Text:QUESTION 1 Calculate the patient's: 1. % IBW 2. % UBW 3. $ weight loss (Interpret her % weight loss as not significant, significant, or severe.) 4. BMI (Round BMI calculation to one decimal place.) Interpret her BMI. QUESTION 2 Estimate her resting energy expenditure using the Mifflin St. Jeor equation. Multiply by an activity factor for ambulatory patients engaging in light activity. REE = (9.99 * wt) + (6.25 * ht) - (4.92 * age) -161 Add 250-500 kcals to her RMR for weight gain. QUESTION 3 Calculate her protein needs as 1.0-1.2 g/kg. QUESTION 4 List 2 additional questions you will ask as you obtain a diet history from EG. QUESTION 5 Provide two specific suggestions for this patient to increase kcals and protein while adhering to the dietary laws she follows.
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