Chapter 1, Problem 1FITB

Final diagnosis: Complete Small bowel Intestinal obstruction secondary to parasitic infection. Will you perform fecal analysis? Why or why not?

Mrs. 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. If the hospital uses a 50% dextrose solution, what is the total volume of dextrose that will be used to deliver the appropriate kcals of CHO?

. 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…

Discuss treatment for Esophageal and gastric varices. Make sure to explain each treatment.    List the drug therapy for esophageal and gastric varices.  Include the classification of the drug, adverse effects, and teaching for each drug.   Please, List your resource for each answer in APA format. Thank you.

Location: Emergency DepartmentTime: 04:00Situation:Stan Checketts, a 52-year-old widower, arrived in the Emergency Department 30 minutes ago with severe abdominal pain. A small bowel obstruction is suspected.Background:He has experienced worsening abdominal pain, nausea, and vomiting for 1-2 days with inability to eat or drink much over the last few days. His past surgical history includes a cholecystectomy, appendectomy, and right inguinal hernia repair, all more than 5 years ago.Assessment:Mr. Checketts is awake and states he has felt 'dizzy' and 'weak' all evening. His vital signs upon arrival were: BP: 108/73; temperature: 100.9 °F (38.3 °C); pulse: 110; respiratory rate: 22, and SpO2: 95% on room air. He has poor skin turgor, dry mucous membranes, and has not urinated since yesterday. His abdomen is distended. He signed an informed consent for treatment. A right forearm saline lock was placed, and labs, a CBC, and BMP were drawn.Recommendation:You will need to check the provider's…

Write the nonpharmacological treatment/approach for the Gastric Ulcers ? please shortly write at your own words. Answer should be specific (3-4 lines).

A 48 year old female is admitted with the diagnosis of pancreatitis. She is complaining of nausea, vomiting and severe muscle weakness. The electrocardiogram shows frequent premature ventricular contractions.  Her symptoms are most likely due to

A 55-year-old woman with a prior history of partial colectomy w/colostomy and small bowel obstruction three months ago that resolved with bowel rest and required no surgical intervention. Three days ago Mary developed a sudden onset of sharp generalized abdominal pain with nausea, vomiting and decreased output from her colostomy bag. She has had two small glasses of water today. Mary is admitted to the medical/surgical unit and you will be the nurse caring for her. You receive the following highlights of report from the emergency department (ED) nurse: CT of her abdomen/pelvis revealed high-grade small bowel obstruction. Lactate 2.8, WBC 14.7, Sodium 143, Potassium 3.7, Creatinine 1.35 An NG was placed and she is on low intermittent suction. She had NG output of 225 mL of bile green liquid. Received hydromorphone 0.5 mg IV for pain one hour ago. Abdominal pain decreased from 9/10 to 3/10 and she is resting more comfortably. Abd. is firm, slightly distended, with tympanic bowel sounds.…

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