Nutrition Through The Life Cycle
7th Edition
ISBN: 9781337919333
Author: Brown, Judith E.
Publisher: Cengage Learning,
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Chapter 12, Problem 2RQ
Summary Introduction
To determine: The BMI-for-age percentile of person T.
Introduction: The status of weight of an individual is assesessed by his body mass index (BMI). Body mass index (BMI) is obtained by dividing weight (in kg) by square of height (in m).
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Betty Cooper, 25-y/o-female, is admitted to the emergency department with decreasing level of consciousness. She is 98lbs and stands at 5ft. She has a history of diabetes mellitus since she was 9 years of age. A physical assessment and laboratory data reveal the following:➢ Dry skin, poor turgor > Serum glucose = 504mg/dl➢ RR = 40cpm, rapid and deep & labored > Serum Na = 130 mEq/L➢ HR = 118bpm, weak pulse > Serum K = 5 mEq/L➢ Temp = 98°F > Serum Cl = 108 mEq/L ➢ BP = 110/70 mmHg > BUN = 74.68 mg/dL➢ ABG: pH = 7.15; HCO3; 13mEq/L; pCO2 = 35 mEq/L1. Calculate Betty’s serum osmolality. 2. What type of diabetes mellitus does Betty possibly have? Why? 3. Which complication of diabetes mellitus does Xia possibly have, diabetic ketoacidosis or hyperglycemic hyperosmolar state? Why? 4. What is the 1st priority nursing management and medical management? Why?
Emma is a 19-year-old national level elite triathlete, and she trains about 25 hours per week with 5 hours as strength exercises. Her BMI is 20, and her percent body fat is 15%. She eats a varied diet but does not like fruits and vegetables and tends to focus on carbohydrate-rich foods and meat and cheese, but because of her schedule, she eats irregularly and eats out a lot, tending towards sandwiches and wraps.
37
Roger K. Long, MD, & Hakan Cakmak, MD
Hypothalamic & Pituitary
Hormones
CASE STUDY
A 4-year-old boy (height 90 cm, -3 standard deviations
[SD]; weight 14.5 kg, approximately 15th percentile)
presents with short stature. Review of the past history
and growth chart demonstrates normal birth weight and
birth length, but a progressive decrease in height per-
centiles relative to age-matched normal ranges starting
Laboratory evaluations demonstrate growth hormone
(GH) deficiency and a delayed bone age of 18 months.
The patient is started on replacement with recombinant
human GH at a dose of 40 mcg/kg per day subcutaneously.
After 1 year of treatment, his height velocity has increased
from 5 cm/y to 11 cm/y. How does GH stimulate growth
in children? What other hormone deficiencies are sug-
at 6 months of age, and orthostasis with febrile illnesses.
Physical examination demonstrates short stature and
mild generalized obesity. Genital examination reveals
descended but small testes and a…
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Nutrition Through The Life Cycle
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- Lavonne is 42-years-old and has always had to watch her intake and maintain an active lifestyle to stay at a healthy weight. She is 5'8" tall and until a couple of months ago, maintained a healthy weight of 160 pounds, with a BMI in the normal range of 24.3. However, a couple of months ago, Lavonne was training for her first marathon and while running, she stepped in a hole and broke her ankle. She has been unable to keep up her training regimen and is very disappointed that she can't participate in the marathon. Lavonne has been indulging in her favorite foods to make herself feel a little better and has gained 18 pounds and her BMI is now 27.1. She's also discovered that as she gains weight, the weight seems to be settling in her middle as her waist circumference has increased by two full inches to 34"! Question 1: Define energy balance and explain Lavonne's weight gain in terms of factors affecting energy intake and all areas of energy expenditure.arrow_forwardvalue: Ramiro's BMI is 23.2. In which BMI category does he fall? What is his risk for chronic diseases based on his BMI? [mark all correct answers] a. overweight b. healthy weight c. underweight d. moderate risk e. low risk #1/6 Next >arrow_forwardBelow are descriptions of the height and weight of three individuals. Calculate their body mass index and determine the state of health of those individuals based on their weight. Not all choices will be used. 35.14 Individual 1 is 66 inches tall and weighs 150 Ibs. This individual has a 24.11 body mass index (BMI) of and is considered to be underweight overweight Individual 2 is 51 inches and weighs 130 Ibs. This individual has a BMI of and is considered to be healthy obese Individual 3 is 73 inches tall and weighs 140 lbs. This individual has a BMI of and is considered to be 16.42 18.47arrow_forward
- Mr. Bester is a 42-year-old male. He is a charted accountant and is not physically active in the day. He weighs 107kg and his height is 1.68m. His job puts a high level of stress on him and he often works late nights. The diet history below is representative of a typical day for Mr. Bester. Answer the questions that follows. 24-hour Recall Time Breakfast Midmorning Lunch Mid afternoon snack Supper Late night snack 2.1 2.2 2.3 2.4 2.5 2.6 Amount 1 cup (extra large) Food Bagel White rice Short rib Pecan nuts 60 g 1 cup 3 tsp 30 ml 80 g 100 g 120 g 340 ml Size 60g 100g 120g 40g 40 g 1 Medium size 4 340ml 1 cup 3 tsp 30ml Food Starbucks Vanilla café latte (with full cream milk) Bagel Coffee Sugar in coffee Full cream milk in coffee Page 4 of 6 Calculate and interpret Mr Bester's body mass index (BMI). Calculate a realistic first goal weight for Mr Bester. A colleague of Mr Bester advised him that he should aim to have his BMI at 25kg/m² within 3 months. Advise Mr Bester why this would be…arrow_forwardA mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart). Describe the developmental markers a nurse should assess for a 9-month-old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice.arrow_forwardR.K is a 50 homemaker. She has always been a little overweight, but now that she is in menopause, her weight has increased to 180 lbs. Her height is 5’5”. She was diagnosed with Diabetes Mellitus about 2 years ago. Initially Kelly did well with just one medication and diet and exercise. However, at her last two visits her Hgh A1C was greater than 8% with fasting blood sugars of 180 mg/dL. Therefore Januvia has been added to her medications. KR has also been admonished to increase her exercise to 20 minutes of aerobic exercise three times a week. Although she did join a gym her busy schedule is such that she can only do aerobic exercise for 15 minutes 2 times during the weeks. He took medications such as Metformin in 500 mg tablets PO BID and Januvia 50mgs PO BID. Explain the relationship of carbohydrate to the development of diabetes mellitus? What are the good sources of carbohydrate must K.R. consumed? Explain. Explain the role of diet that K.R intervene to improve her condition…arrow_forward
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