Issues and Ethics in the Helping Professions, Updated with 2014 ACA Codes (Book Only)
9th Edition
ISBN: 9781305389458
Author: Gerald Corey, Marianne Schneider Corey, Cindy Corey, Patrick Callanan
Publisher: Cengage Learning
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Chapter 2, Problem 7LO
Develop a personal strategy for ongoing self-care
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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
Two kind verb
Nutrition Internvention
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Issues and Ethics in the Helping Professions, Updated with 2014 ACA Codes (Book Only)
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- Mrs. Sara Bellum Lab data: All High GFR: 10 mL/min/1.73^2 Creatinine: 2.5 mg/dL BUN: 33 mg/dL HbgA1c: 9.2% Potassium: 5.5 mEq/L Phosphourous: 5 mg/dL Mrs. Sara Bellum's questions to answer: How much protein to eat What types of protein to eat What other liquids can she drink How to avoid being thirsty Dairy options and amount What kind of founds cound as fluid Are veggie dinners ok How much water to drink Nutrition intervention Are carbs ok with pts with ckd Calories: 1300-18200 kcal/day Protein: 52-62 g protein/kg Fluid: 18 ounces (6 cups) per day Sodium (less than 2,300 milligrams a day) Potassium Calciumarrow_forwardQuestions to as a CKD patient with diabetes during an assessment (as a dietitian)?arrow_forward* Question Completion Status: Usual Padiat Patient's Doss Directions for Micing NDC 61442-202-01 CEPHALEXIN For Oral Suspension USP Low 250 mg per 5 mL Each 5ml Arom than contain: Cephalesin Manched quant to 250 ing Cephasn Rev. 09 10 Rx Only Carlsbad Technology, Inc. 100 ml (When Mored) 61442 2020 Lot CCP50 Order: cephalexin 350 mg p.o. every 6 hrs for 7 days for a child who weighs 70 lbs. What is the child's weight in kg to the nearest tenths? Calculate the safe total "daily dose range" for this child (round to whole number) Calculate the safe "single dose range" for this child (round to a whole number) Is the ordered dose a "safe dose"? How many mLs will the nurse administer for each dose? 31 798 mg/day; 1,599 mg/day 198.7 mg/dose; 397.5 mg/dose Yes 7 mL O 31.8 795 mg/day; 1,590 mg/day 199 mg/dose; 398 mg/dose Yes 7 mL 31.8 795 mg/day; 1,590 mg/day 198.75 mg/dose; 397.5 mg/dose Yes 7 mL 31 795 mg/day; 1,590 mg/day 199 mg/dose; 398 mg/dose No 7 mL Click Save and Submit to save and…arrow_forward
- 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/hrarrow_forwardYou 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/mlarrow_forwardYou 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…arrow_forward
- 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…arrow_forwardHealth education is central to nursing practice. Discuss.arrow_forwardDon't give AI generated solution otherwise I will give you downward Evaluate the current state of the quality of care and outcomes for the opioid epidemic in veterans that have been discharged from the military. • What is the current state of the quality of care and outcomes? • To what degree does the current state of the quality of care and outcomes need to be improved? • How does the current performance compare to any relevant benchmarks? • How does the current performance adversely impact the health of the target population negatively impacted by health inequity? Give correct typing answer with explanationarrow_forward
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