The reason for Person PS’s tiredness. Case summary: Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

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Answer 1

Question

Chapter 12, Problem 1CS

(1)

Summary Introduction

To determine:

The reason for Person PS’s tiredness.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(2)

Summary Introduction

To determine:

The rationale behind the tapering dosage schedule.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(3)

Summary Introduction

To determine:

How the drug ramelteon is different from alprazolam.

Case summary:

Person PS is a 68-years-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(4)

Summary Introduction

To determine:

The non-pharmacological method to improve Person PS’s sleep.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

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A 65 year old male with a small bowel obstruction is to be started on TPN. He is 5’ 9” and weighs 70 kg. 3.1 What is his kcal requirements using Mifflin St Jeor equation? Assume an activity factor of 1.2. 1770 kcal 1980 kcal 2020 kcal 2080 kcal 3.2 What is his fluid requirements (ml)? 2000 ml 2100 ml 2200 ml 2300 ml 3.3 The patient has just undergone a small bowel resection. His albumin dropped to 2.2. He has no significant past medical history except for a minor bicycle accident when he was 10 years old. How many grams of protein will this patient require based on your assessment? 105 – 126 g/day 110 – 130 g/day 84 – 105 g/day 110 – 180 g/day

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Nutrition Internvention

Answer 2

Question

Chapter 12, Problem 1CS

(1)

Summary Introduction

To determine:

The reason for Person PS’s tiredness.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(2)

Summary Introduction

To determine:

The rationale behind the tapering dosage schedule.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(3)

Summary Introduction

To determine:

How the drug ramelteon is different from alprazolam.

Case summary:

Person PS is a 68-years-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(4)

Summary Introduction

To determine:

The non-pharmacological method to improve Person PS’s sleep.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

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Answer 3

Question

Chapter 12, Problem 1CS

(1)

Summary Introduction

To determine:

The reason for Person PS’s tiredness.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(2)

Summary Introduction

To determine:

The rationale behind the tapering dosage schedule.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(3)

Summary Introduction

To determine:

How the drug ramelteon is different from alprazolam.

Case summary:

Person PS is a 68-years-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(4)

Summary Introduction

To determine:

The non-pharmacological method to improve Person PS’s sleep.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

Expert Solution & Answer

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Answer 4

Question

Chapter 12, Problem 1CS

(1)

Summary Introduction

To determine:

The reason for Person PS’s tiredness.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(2)

Summary Introduction

To determine:

The rationale behind the tapering dosage schedule.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(3)

Summary Introduction

To determine:

How the drug ramelteon is different from alprazolam.

Case summary:

Person PS is a 68-years-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(4)

Summary Introduction

To determine:

The non-pharmacological method to improve Person PS’s sleep.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

Expert Solution & Answer

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Answer 5

Chapter 12, Problem 1CS

(1)

Summary Introduction

To determine:

The reason for Person PS’s tiredness.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(2)

Summary Introduction

To determine:

The rationale behind the tapering dosage schedule.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(3)

Summary Introduction

To determine:

How the drug ramelteon is different from alprazolam.

Case summary:

Person PS is a 68-years-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

(4)

Summary Introduction

To determine:

The non-pharmacological method to improve Person PS’s sleep.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

Answer 6

Chapter 12, Problem 1CS

(1)

Summary Introduction

To determine:

The reason for Person PS’s tiredness.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

Answer 7

Chapter 12, Problem 1CS

(1)

Summary Introduction

To determine:

The reason for Person PS’s tiredness.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

Answer 8

(2)

Summary Introduction

To determine:

The rationale behind the tapering dosage schedule.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

Answer 9

(2)

Summary Introduction

To determine:

The rationale behind the tapering dosage schedule.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

Answer 10

(3)

Summary Introduction

To determine:

How the drug ramelteon is different from alprazolam.

Case summary:

Person PS is a 68-years-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

Answer 11

(3)

Summary Introduction

To determine:

How the drug ramelteon is different from alprazolam.

Case summary:

Person PS is a 68-years-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

Answer 12

(4)

Summary Introduction

To determine:

The non-pharmacological method to improve Person PS’s sleep.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

Answer 13

(4)

Summary Introduction

To determine:

The non-pharmacological method to improve Person PS’s sleep.

Case summary:

Person PS is a 68-year-old retired secretary complaining about feeling tired during the day and had trouble sleeping (off and on) for years. She received a prescription for the drug benzodiazepine (alprazolam), which has to be taken as needed for nerves. The nurse discovers that Person PS has been taking alprazolam for 3 weeks every night to get good sleep. However, she complains that even after a good sleep, she is feeling so tired during the day.

Answer 14

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Answer 15

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Answer 16

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Answer 17

Ch. 12 - Prob. 1O Ch. 12 - Prob. 2O Ch. 12 - Prob. 3O Ch. 12 - Prob. 4O Ch. 12 - Prob. 5O Ch. 12 - Prob. 6O Ch. 12 - Prob. 7O Ch. 12 - Prob. 8O Ch. 12 - Prob. 1CS Ch. 12 - Prob. 1NERQ

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