Pharmacology and the Nursing Process
Pharmacology and the Nursing Process
7th Edition
ISBN: 9780323087896
Author: Linda Lane Lilley
Publisher: Elsevier Health Sciences
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Chapter 19, Problem 5NERQ
Summary Introduction

Beta blockers are also known as beta-adrenergic antagonists; they block the sympathetic nervous system (SNS) neurotransmitters’ effects such as norepinephrine, dopamine, and epinephrine. Beta blockers initially block the beta receptors such as Beta1 and Beta2, which are responsible for increased heart rate and bronchodilation. The blocking effect of these receptors leads to bronchoconstriction and decreased heart rate.

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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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