Dr.S. had a discussion with E and her husband. The doctor told that Ms.E can take Donepezil (Aricept) which can be helpful to treat her early stages of Alzheimer’s disease. The doctor told after some few diagnostic tests this drug can be taken by Ms.E. After the doctor left Ms.E to enquire the nurse about “What will the drug Donepezil will do for him? Will the drug cure Alzheimer disease? What will the reply of the nurse? Case summary: A 72-year-old woman named Ms.E is married a 73-year-old man named Mr.G. Mr.G noticed an unusual behavior in Ms.E that she is forgetful in many things and she got lost while driving back from the grocery store. After this incidence, Mr. G makes an appointment with a primary care physician. The physician examined Ms.E thoroughly. The physician tells to Mr.G in private discussion that his wife is in the early stages of Alzheimer’s disease but yet it cannot be confirmed. She has to undergo some tests to fix this doubt. Mr. G is upset to hear this news when the doctor told her about it.

Question

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Answer 1

Question

Chapter 20, Problem 1CS

(1)

Summary Introduction

To determine:

Dr.S. had a discussion with E and her husband. The doctor told that Ms.E can take Donepezil (Aricept) which can be helpful to treat her early stages of Alzheimer’s disease. The doctor told after some few diagnostic tests this drug can be taken by Ms.E. After the doctor left Ms.E to enquire the nurse about “What will the drug Donepezil will do for him? Will the drug cure Alzheimer disease? What will the reply of the nurse?

Case summary:

A 72-year-old woman named Ms.E is married a 73-year-old man named Mr.G. Mr.G noticed an unusual behavior in Ms.E that she is forgetful in many things and she got lost while driving back from the grocery store. After this incidence, Mr. G makes an appointment with a primary care physician. The physician examined Ms.E thoroughly. The physician tells to Mr.G in private discussion that his wife is in the early stages of Alzheimer’s disease but yet it cannot be confirmed. She has to undergo some tests to fix this doubt. Mr. G is upset to hear this news when the doctor told her about it.

(2)

Summary Introduction

To determine:

Mr.G have some doubts about the drug as he is not sure about the oral dissolving pill. “Ms.E can’t swallow the pill?” How the nurse explains to Mr.G about the indications of this drug.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

(3)

Summary Introduction

To determine:

Mr.G brings Ms.E back to the clinic after six weeks to meet with Dr. S. Mr.G told Dr.S that Ms.E is upset because she felt a little improvement in her condition. Ms.E told the doctor that she is fine and she is not having any problems. Will Dr.S order some other drug this time? Whether Ms.E response to donepezil is typical? Explain your answer.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

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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…

Answer 2

Question

Chapter 20, Problem 1CS

(1)

Summary Introduction

To determine:

Dr.S. had a discussion with E and her husband. The doctor told that Ms.E can take Donepezil (Aricept) which can be helpful to treat her early stages of Alzheimer’s disease. The doctor told after some few diagnostic tests this drug can be taken by Ms.E. After the doctor left Ms.E to enquire the nurse about “What will the drug Donepezil will do for him? Will the drug cure Alzheimer disease? What will the reply of the nurse?

Case summary:

A 72-year-old woman named Ms.E is married a 73-year-old man named Mr.G. Mr.G noticed an unusual behavior in Ms.E that she is forgetful in many things and she got lost while driving back from the grocery store. After this incidence, Mr. G makes an appointment with a primary care physician. The physician examined Ms.E thoroughly. The physician tells to Mr.G in private discussion that his wife is in the early stages of Alzheimer’s disease but yet it cannot be confirmed. She has to undergo some tests to fix this doubt. Mr. G is upset to hear this news when the doctor told her about it.

(2)

Summary Introduction

To determine:

Mr.G have some doubts about the drug as he is not sure about the oral dissolving pill. “Ms.E can’t swallow the pill?” How the nurse explains to Mr.G about the indications of this drug.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

(3)

Summary Introduction

To determine:

Mr.G brings Ms.E back to the clinic after six weeks to meet with Dr. S. Mr.G told Dr.S that Ms.E is upset because she felt a little improvement in her condition. Ms.E told the doctor that she is fine and she is not having any problems. Will Dr.S order some other drug this time? Whether Ms.E response to donepezil is typical? Explain your answer.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

Expert Solution & Answer

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Check out a sample textbook solution

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Answer 3

Question

Chapter 20, Problem 1CS

(1)

Summary Introduction

To determine:

Dr.S. had a discussion with E and her husband. The doctor told that Ms.E can take Donepezil (Aricept) which can be helpful to treat her early stages of Alzheimer’s disease. The doctor told after some few diagnostic tests this drug can be taken by Ms.E. After the doctor left Ms.E to enquire the nurse about “What will the drug Donepezil will do for him? Will the drug cure Alzheimer disease? What will the reply of the nurse?

Case summary:

A 72-year-old woman named Ms.E is married a 73-year-old man named Mr.G. Mr.G noticed an unusual behavior in Ms.E that she is forgetful in many things and she got lost while driving back from the grocery store. After this incidence, Mr. G makes an appointment with a primary care physician. The physician examined Ms.E thoroughly. The physician tells to Mr.G in private discussion that his wife is in the early stages of Alzheimer’s disease but yet it cannot be confirmed. She has to undergo some tests to fix this doubt. Mr. G is upset to hear this news when the doctor told her about it.

(2)

Summary Introduction

To determine:

Mr.G have some doubts about the drug as he is not sure about the oral dissolving pill. “Ms.E can’t swallow the pill?” How the nurse explains to Mr.G about the indications of this drug.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

(3)

Summary Introduction

To determine:

Mr.G brings Ms.E back to the clinic after six weeks to meet with Dr. S. Mr.G told Dr.S that Ms.E is upset because she felt a little improvement in her condition. Ms.E told the doctor that she is fine and she is not having any problems. Will Dr.S order some other drug this time? Whether Ms.E response to donepezil is typical? Explain your answer.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Answer 4

Question

Chapter 20, Problem 1CS

(1)

Summary Introduction

To determine:

Dr.S. had a discussion with E and her husband. The doctor told that Ms.E can take Donepezil (Aricept) which can be helpful to treat her early stages of Alzheimer’s disease. The doctor told after some few diagnostic tests this drug can be taken by Ms.E. After the doctor left Ms.E to enquire the nurse about “What will the drug Donepezil will do for him? Will the drug cure Alzheimer disease? What will the reply of the nurse?

Case summary:

A 72-year-old woman named Ms.E is married a 73-year-old man named Mr.G. Mr.G noticed an unusual behavior in Ms.E that she is forgetful in many things and she got lost while driving back from the grocery store. After this incidence, Mr. G makes an appointment with a primary care physician. The physician examined Ms.E thoroughly. The physician tells to Mr.G in private discussion that his wife is in the early stages of Alzheimer’s disease but yet it cannot be confirmed. She has to undergo some tests to fix this doubt. Mr. G is upset to hear this news when the doctor told her about it.

(2)

Summary Introduction

To determine:

Mr.G have some doubts about the drug as he is not sure about the oral dissolving pill. “Ms.E can’t swallow the pill?” How the nurse explains to Mr.G about the indications of this drug.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

(3)

Summary Introduction

To determine:

Mr.G brings Ms.E back to the clinic after six weeks to meet with Dr. S. Mr.G told Dr.S that Ms.E is upset because she felt a little improvement in her condition. Ms.E told the doctor that she is fine and she is not having any problems. Will Dr.S order some other drug this time? Whether Ms.E response to donepezil is typical? Explain your answer.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 5

Chapter 20, Problem 1CS

(1)

Summary Introduction

To determine:

Dr.S. had a discussion with E and her husband. The doctor told that Ms.E can take Donepezil (Aricept) which can be helpful to treat her early stages of Alzheimer’s disease. The doctor told after some few diagnostic tests this drug can be taken by Ms.E. After the doctor left Ms.E to enquire the nurse about “What will the drug Donepezil will do for him? Will the drug cure Alzheimer disease? What will the reply of the nurse?

Case summary:

A 72-year-old woman named Ms.E is married a 73-year-old man named Mr.G. Mr.G noticed an unusual behavior in Ms.E that she is forgetful in many things and she got lost while driving back from the grocery store. After this incidence, Mr. G makes an appointment with a primary care physician. The physician examined Ms.E thoroughly. The physician tells to Mr.G in private discussion that his wife is in the early stages of Alzheimer’s disease but yet it cannot be confirmed. She has to undergo some tests to fix this doubt. Mr. G is upset to hear this news when the doctor told her about it.

(2)

Summary Introduction

To determine:

Mr.G have some doubts about the drug as he is not sure about the oral dissolving pill. “Ms.E can’t swallow the pill?” How the nurse explains to Mr.G about the indications of this drug.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

(3)

Summary Introduction

To determine:

Mr.G brings Ms.E back to the clinic after six weeks to meet with Dr. S. Mr.G told Dr.S that Ms.E is upset because she felt a little improvement in her condition. Ms.E told the doctor that she is fine and she is not having any problems. Will Dr.S order some other drug this time? Whether Ms.E response to donepezil is typical? Explain your answer.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

Answer 6

Chapter 20, Problem 1CS

(1)

Summary Introduction

To determine:

Dr.S. had a discussion with E and her husband. The doctor told that Ms.E can take Donepezil (Aricept) which can be helpful to treat her early stages of Alzheimer’s disease. The doctor told after some few diagnostic tests this drug can be taken by Ms.E. After the doctor left Ms.E to enquire the nurse about “What will the drug Donepezil will do for him? Will the drug cure Alzheimer disease? What will the reply of the nurse?

Case summary:

A 72-year-old woman named Ms.E is married a 73-year-old man named Mr.G. Mr.G noticed an unusual behavior in Ms.E that she is forgetful in many things and she got lost while driving back from the grocery store. After this incidence, Mr. G makes an appointment with a primary care physician. The physician examined Ms.E thoroughly. The physician tells to Mr.G in private discussion that his wife is in the early stages of Alzheimer’s disease but yet it cannot be confirmed. She has to undergo some tests to fix this doubt. Mr. G is upset to hear this news when the doctor told her about it.

Answer 7

Chapter 20, Problem 1CS

(1)

Summary Introduction

To determine:

Dr.S. had a discussion with E and her husband. The doctor told that Ms.E can take Donepezil (Aricept) which can be helpful to treat her early stages of Alzheimer’s disease. The doctor told after some few diagnostic tests this drug can be taken by Ms.E. After the doctor left Ms.E to enquire the nurse about “What will the drug Donepezil will do for him? Will the drug cure Alzheimer disease? What will the reply of the nurse?

Case summary:

A 72-year-old woman named Ms.E is married a 73-year-old man named Mr.G. Mr.G noticed an unusual behavior in Ms.E that she is forgetful in many things and she got lost while driving back from the grocery store. After this incidence, Mr. G makes an appointment with a primary care physician. The physician examined Ms.E thoroughly. The physician tells to Mr.G in private discussion that his wife is in the early stages of Alzheimer’s disease but yet it cannot be confirmed. She has to undergo some tests to fix this doubt. Mr. G is upset to hear this news when the doctor told her about it.

Answer 8

(2)

Summary Introduction

To determine:

Mr.G have some doubts about the drug as he is not sure about the oral dissolving pill. “Ms.E can’t swallow the pill?” How the nurse explains to Mr.G about the indications of this drug.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

Answer 9

(2)

Summary Introduction

To determine:

Mr.G have some doubts about the drug as he is not sure about the oral dissolving pill. “Ms.E can’t swallow the pill?” How the nurse explains to Mr.G about the indications of this drug.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

Answer 10

(3)

Summary Introduction

To determine:

Mr.G brings Ms.E back to the clinic after six weeks to meet with Dr. S. Mr.G told Dr.S that Ms.E is upset because she felt a little improvement in her condition. Ms.E told the doctor that she is fine and she is not having any problems. Will Dr.S order some other drug this time? Whether Ms.E response to donepezil is typical? Explain your answer.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

Answer 11

(3)

Summary Introduction

To determine:

Mr.G brings Ms.E back to the clinic after six weeks to meet with Dr. S. Mr.G told Dr.S that Ms.E is upset because she felt a little improvement in her condition. Ms.E told the doctor that she is fine and she is not having any problems. Will Dr.S order some other drug this time? Whether Ms.E response to donepezil is typical? Explain your answer.

Case summary:

Several diagnostic tests were conducted, like complete blood count, Vitamin-B₁₂ levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

Answer 12

Expert Solution & Answer

Answer 13

Expert Solution & Answer

Answer 14

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Answer 15

Ch. 20 - Prob. 1O Ch. 20 - Prob. 2O Ch. 20 - Prob. 3O Ch. 20 - Prob. 4O Ch. 20 - Prob. 1CS Ch. 20 - Prob. 1NERQ Ch. 20 - Prob. 2NERQ Ch. 20 - Prob. 3NERQ Ch. 20 - Prob. 4NERQ Ch. 20 - Prob. 5NERQ

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Chapter 20 Solutions