EBK GOULD'S PATHOPHYSIOLOGY FOR THE HEA
EBK GOULD'S PATHOPHYSIOLOGY FOR THE HEA
5th Edition
ISBN: 9780100026964
Author: HUBERT
Publisher: YUZU
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Chapter 16, Problem 15LO
Summary Introduction

To list: The possible causes of Cushing’s syndrome.

Concept introduction: Cushing’s syndrome refers to the clinical manifestations that occur due to the over production of glucocorticoids such as hydrocortisone or cortisol. The symptoms of this syndrome involve weight gain, obesity, fatigue, glucose intolerance, anxiety, depression, irritability, bone loss, and high blood pressure.

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Considering the kcals the patient is receiving from propofol and D51⁄2NS, what should be the rate (ml/hr) of the tube feeding you selected? 30 ml/hr 45 ml/hr 55 ml/hr 65 ml/hr
You are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal   What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the estimated protein need for this patient? 45 – 50 g/day 86 – 108g/day 108 – 180g/day 144 – 188 g/day What type of tube feeding formula would you recommend for this patient? Standard 1.5 kcal/ml formula Glycemic control product, 1.0 kcal/ml Low residue, high protein, nutritionally balanced,1.2 kcal/ml High protein, calorie control product, 2.0 kcal/ml
You are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal Which estimated prediction equation will you recommend to calculate the kcal need for this patient? Penn State Equation (2003b): Mifflin(0.96)+ VE (31) + Tmax (167)-6212 MifflinStJeor =(10xW)+(6.25xHt)–(5xAge)+5 Harris-Benedict equation: kcal/day (male) = 66 +13.8 (W) + 5.0(H) – (6.8 x A) Ireton-Jones equations (1992)(ventilator-dependent): 1925 – 10 (A) + 5 (W) + 281 (S) + 292 (T) + 851 (B) What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the…

Chapter 16 Solutions

EBK GOULD'S PATHOPHYSIOLOGY FOR THE HEA

Ch. 16 - Prob. 11LOCh. 16 - Prob. 12LOCh. 16 - Prob. 13LOCh. 16 - Prob. 14LOCh. 16 - Prob. 15LOCh. 16 - Prob. 16LOCh. 16 - Prob. 16.1ATACh. 16 - Prob. 16.1BTACh. 16 - Prob. 16.1CTACh. 16 - Prob. 16.1DTACh. 16 - Prob. 16.1AYKCh. 16 - Prob. 16.2TACh. 16 - Prob. 16.3TACh. 16 - Prob. 16.4TACh. 16 - Prob. 16.5ATACh. 16 - Prob. 16.5BTACh. 16 - Prob. 16.6TACh. 16 - Prob. 16.7ATACh. 16 - Prob. 16.7BTACh. 16 - Prob. 16.8ATACh. 16 - Prob. 16.8BTACh. 16 - Prob. 16.8CTACh. 16 - Prob. 16.8DTACh. 16 - Prob. 16.9ATACh. 16 - Prob. 16.9BTACh. 16 - Prob. 16.10ATACh. 16 - Prob. 16.10BTACh. 16 - Prob. 16.10CTACh. 16 - Prob. 16.11ATACh. 16 - Prob. 16.11BTACh. 16 - Prob. 1CSACh. 16 - Prob. 2CSACh. 16 - Prob. 3CSACh. 16 - Prob. 4CSACh. 16 - Prob. 5CSACh. 16 - Prob. 6CSACh. 16 - Prob. 7CSACh. 16 - Prob. 8CSACh. 16 - Prob. 9CSACh. 16 - Prob. 1CSBCh. 16 - Prob. 2CSBCh. 16 - Prob. 3CSBCh. 16 - Prob. 4CSBCh. 16 - Prob. 5CSBCh. 16 - Prob. 6CSBCh. 16 - Prob. 7CSBCh. 16 - Prob. 8CSBCh. 16 - Prob. 9CSBCh. 16 - Prob. 10CSBCh. 16 - Prob. 11CSBCh. 16 - Prob. 1CSCCh. 16 - Prob. 2CSCCh. 16 - Prob. 3CSCCh. 16 - Prob. 4CSCCh. 16 - Prob. 5CSCCh. 16 - Prob. 6CSCCh. 16 - Prob. 7CSCCh. 16 - Prob. 8CSCCh. 16 - Prob. 9CSCCh. 16 - Prob. 10CSCCh. 16 - Prob. 1CSDCh. 16 - Prob. 2CSDCh. 16 - Prob. 3CSDCh. 16 - Prob. 4CSDCh. 16 - Prob. 5CSDCh. 16 - Prob. 6CSDCh. 16 - Prob. 7CSDCh. 16 - Prob. 8CSDCh. 16 - Prob. 9CSDCh. 16 - Prob. 10CSDCh. 16 - Prob. 1SQCh. 16 - Prob. 2SQCh. 16 - Prob. 3SQCh. 16 - Prob. 4SQCh. 16 - Prob. 5SQCh. 16 - Prob. 6SQCh. 16 - Prob. 7SQCh. 16 - Prob. 8SQCh. 16 - Prob. 9SQCh. 16 - Prob. 10SQ
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How stress affects your body - Sharon Horesh Bergquist; Author: TED-Ed;https://www.youtube.com/watch?v=v-t1Z5-oPtU;License: Standard Youtube License