Pharmacology and the Nursing Process
7th Edition
ISBN: 9780323087896
Author: Linda Lane Lilley
Publisher: Elsevier Health Sciences
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Chapter 28, Problem 7NERQ
Summary Introduction
To calculate:
How many grams of mannitol will the patient receive and how many milliliters of mannitol are prepared for the infusion from a vial containing 20% mannitol.
Concept introduction:
Urea, glucose, mannitol, and organic acids are referred to as osmotic diuretics. Mannitol is a nonabsorbent solute that is most commonly used when compared to the other. It prevents sodium and water reabsorption. Mannitol is an inert (pharmacologically) material that is given intravenously. It plays an important role in increasing the blood osmolarity and renal filtrate.
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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
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1787 kcal
1847 kcal
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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…
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