EBK PHARMACOLOGY AND THE NURSING PROCES
8th Edition
ISBN: 9780323358989
Author: Snyder
Publisher: Elsevier Course Content Deliv.
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Chapter 27, Problem 2CTPQ
Summary Introduction
To answer:
What is the nurse’s best response to the patient comment in the given case?
Concept introduction:
The cholestyramine (Questran), colestipol and colesevelam are bile acid sequestrant. These drugs help to reduce the low-density lipoprotein (LDL) cholesterol. Generally, it binds with the gastrointestinal tract to avoid the reabsorption. This drug is available in powder form and it is commonly used to treat bile acid diarrhea. The adverse effect of taking this drug includes constipation and increased plasma triglycerides. Before administering this drug, the patient with diabetes, nephrotic syndrome, and kidney disease should consult the physician.
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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
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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?
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Nutrition Internvention
Chapter 27 Solutions
EBK PHARMACOLOGY AND THE NURSING PROCES
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