Explain how this dose of dopamine works to help treat Mr.P’s heart failure. Case summary: Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

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Answer 1

Question

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

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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 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Expert Solution & Answer

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See solution

Answer 3

Question

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 4

Question

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 5

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Answer 6

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

Answer 7

Chapter 18, Problem 1CS

(1)

Summary Introduction

To determine:

Explain how this dose of dopamine works to help treat Mr.P’s heart failure.

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

Answer 8

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

Answer 9

(2)

Summary Introduction

To determine:

What would you expect to happen if the dose were set to 1 mcg/kg/min? and 20 mcg/kg/min?

Case summary:

Mr. P is 82-year-old men, receiving dopamine 5 mcg/kg/min for his heart failure. He is taking thyroid replacement hormone for hypothyroidism. Yesterday, his vital signs were found to be: blood pressure – 150/88 mm Hg; pulse rate – 92 beats/min, respiration rate – 16 breaths/min. He had rare ectopic beats with sinus rhythm. He had no shortness of breath while at rest, but experiencing some dyspnea on moving. He had 2+ edema in his lower legs.

Answer 10

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

Answer 11

(3)

Summary Introduction

To determine:

Do you think there is a concern at this time? Explain your reasoning and what should be done.

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations.

Answer 12

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Answer 13

(4)

Summary Introduction

To determine:

How quickly should you see a response from the patient to this decrease in dosage?

Case summary:

The next morning, the vital signs of Mr. P were noted to be: Blood pressure – 170/94 mm Hg; Pulse rate – 120 beats/min; Respiration rate – 22 breaths/min. The heart monitor showed sinus tachycardia with 2 to 3 ectopic beats per minute. The patient also complained of some shortness of breath and palpitations. The physician decided to reduce the dosage of dopamine infusion to 3 mcg/kg/min.

Answer 14

Expert Solution & Answer

Answer 15

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Answer 16

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Answer 17

Ch. 18 - Prob. 1O Ch. 18 - Prob. 2O Ch. 18 - Prob. 3O Ch. 18 - Prob. 4O Ch. 18 - Prob. 1CS Ch. 18 - Prob. 1NERQ Ch. 18 - Prob. 2NERQ Ch. 18 - Prob. 3NERQ Ch. 18 - Prob. 4NERQ Ch. 18 - Prob. 5NERQ

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Chapter 18 Solutions