Essentials of Pharmacology for Health Professions (MindTap Course List)
7th Edition
ISBN: 9781285077888
Author: Ruth Woodrow, Bruce Colbert, David M. Smith
Publisher: Cengage Learning
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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…
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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…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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