What was problematic about Mrs. Beck’s oral fluid replacement at home when she had vomiting and diarrhoea? Case summary: Mrs. H is 72-year-old and she fell down at home because she was light-headed due to vomiting and diarrhoea for the past 24 hours. She knew that she needed some fluid and therefore she had some water. She was hospitalized for intravenous and oral fluid therapy.

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Answer 1

Question

Chapter 42, Problem 1CAQ

Summary Introduction

To determine:

What was problematic about Mrs. Beck’s oral fluid replacement at home when she had vomiting and diarrhoea?

Case summary:

Mrs. H is 72-year-old and she fell down at home because she was light-headed due to vomiting and diarrhoea for the past 24 hours. She knew that she needed some fluid and therefore she had some water. She was hospitalized for intravenous and oral fluid therapy.

Expert Solution & Answer

Explanation of Solution

Loss of water as well as electrolytes occurs in case of diarrhoea and vomiting. An elderly, sick person having or had diarrhoea and vomiting must drink minimum of 1.7 litres of water within 24 hours of time. Mrs. H had some water, which will be not sufficient to meet the water and electrolytes demand required by her body. Oral rehydration therapy as well as intravenous administration is effective in the treatment of dehydration caused by diarrhoea and vomiting.

Conclusion

Mrs. Beck’s oral fluid replacement was problematic because she did not drink enough water and it will not contain sufficient electrolytes required to replenish the loss.

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DaVita Dietitian Reference Manual Module 7- Adequacy of Hemodialysis CASE STUDIES Case 1 David was diagnosed with chronic kidney disease a year ago, and now needs hemodialysis. At his first treatment, the nurse hooks up the bloodlines to an access in David's chest. He tells her that he had surgery on his arm three months ago so it can be used for dialysis eventually. 1. What type of access does David have for the initial treatment? 2. Is David's arm access most likely a graft or fistula? 3. What possible reasons prevent use of a fistula or graft for the first dialysis treatment? Case 2 Ramon, a hemodialysis patient for six years, has lost 1.5 kg over the past six weeks. He denies nausea or vomiting, but does admit to eating less at meals and skipping dinner some days. Current dialysis prescription is: 3 1/2 hours (210 minutes), 3 times a week, ASAHI 1050S, APS dialyzer, dialysis flow rate 800 ml/min, blood flow rate 400 ml/min. Monthly bloodwork is as follows: Date K PO4 Pre-BUN…

DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis REVIEW QUESTIONS True False 1. 27 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Urea Reduction Ratio is a more accurate measurement of dialysis adequacy than Urea Kinetic Modeling. A fistula is the preferred type of vascular access. In the formula Kt/V, the V represents volume of total body water in which urea is distributed. In the formula Kt/V, time is measured in 15-minute increments, so 220 minutes would be rounded off to the nearest quarter hour. The DaVita minimum goal for adequacy is a spKt/V≥ 1.0. A measured height and accurate dry weight are required to obtain an accurate Kt/V result. A very low post BUN result usually means the patient is not eating enough protein. KRU is a measure of residual urea clearance by the patient's kidney, requiring a 24-hour urine collection. The Kt/V Delivered (single pool) is the value used for determining adequacy and comparing outcomes in DaVita facilities. Catheters are…

DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis Case 3 Beverly's monthly adequacy of dialysis results came back lower than usual. Her Kt/V is 1.13. Flow sheet data reveals the following: Prescribed BFR 400, patient ran BFR 325 during treatment Blood pressure dropped to 72/58 during treatment, so UFR was turned off. Dry weight 65 kg, pre dialysis weight 69 kg, post dialysis weight 66.5 kg 1. What are DaVita's goals for Kt/V? 2. What is your impression of why the Kt/V is low? 3. What additional information would help in determining why Beverly's adequacy results were below goal?

Answer 2

Question

Chapter 42, Problem 1CAQ

Summary Introduction

To determine:

What was problematic about Mrs. Beck’s oral fluid replacement at home when she had vomiting and diarrhoea?

Case summary:

Mrs. H is 72-year-old and she fell down at home because she was light-headed due to vomiting and diarrhoea for the past 24 hours. She knew that she needed some fluid and therefore she had some water. She was hospitalized for intravenous and oral fluid therapy.

Expert Solution & Answer

Explanation of Solution

Loss of water as well as electrolytes occurs in case of diarrhoea and vomiting. An elderly, sick person having or had diarrhoea and vomiting must drink minimum of 1.7 litres of water within 24 hours of time. Mrs. H had some water, which will be not sufficient to meet the water and electrolytes demand required by her body. Oral rehydration therapy as well as intravenous administration is effective in the treatment of dehydration caused by diarrhoea and vomiting.

Conclusion

Mrs. Beck’s oral fluid replacement was problematic because she did not drink enough water and it will not contain sufficient electrolytes required to replenish the loss.

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Answer 3

Question

Chapter 42, Problem 1CAQ

Summary Introduction

To determine:

What was problematic about Mrs. Beck’s oral fluid replacement at home when she had vomiting and diarrhoea?

Case summary:

Mrs. H is 72-year-old and she fell down at home because she was light-headed due to vomiting and diarrhoea for the past 24 hours. She knew that she needed some fluid and therefore she had some water. She was hospitalized for intravenous and oral fluid therapy.

Expert Solution & Answer

Explanation of Solution

Loss of water as well as electrolytes occurs in case of diarrhoea and vomiting. An elderly, sick person having or had diarrhoea and vomiting must drink minimum of 1.7 litres of water within 24 hours of time. Mrs. H had some water, which will be not sufficient to meet the water and electrolytes demand required by her body. Oral rehydration therapy as well as intravenous administration is effective in the treatment of dehydration caused by diarrhoea and vomiting.

Conclusion

Mrs. Beck’s oral fluid replacement was problematic because she did not drink enough water and it will not contain sufficient electrolytes required to replenish the loss.

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Answer 4

Question

Chapter 42, Problem 1CAQ

Summary Introduction

To determine:

What was problematic about Mrs. Beck’s oral fluid replacement at home when she had vomiting and diarrhoea?

Case summary:

Mrs. H is 72-year-old and she fell down at home because she was light-headed due to vomiting and diarrhoea for the past 24 hours. She knew that she needed some fluid and therefore she had some water. She was hospitalized for intravenous and oral fluid therapy.

Expert Solution & Answer

Explanation of Solution

Loss of water as well as electrolytes occurs in case of diarrhoea and vomiting. An elderly, sick person having or had diarrhoea and vomiting must drink minimum of 1.7 litres of water within 24 hours of time. Mrs. H had some water, which will be not sufficient to meet the water and electrolytes demand required by her body. Oral rehydration therapy as well as intravenous administration is effective in the treatment of dehydration caused by diarrhoea and vomiting.

Conclusion

Mrs. Beck’s oral fluid replacement was problematic because she did not drink enough water and it will not contain sufficient electrolytes required to replenish the loss.

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Answer 5

Chapter 42, Problem 1CAQ

Summary Introduction

To determine:

What was problematic about Mrs. Beck’s oral fluid replacement at home when she had vomiting and diarrhoea?

Case summary:

Mrs. H is 72-year-old and she fell down at home because she was light-headed due to vomiting and diarrhoea for the past 24 hours. She knew that she needed some fluid and therefore she had some water. She was hospitalized for intravenous and oral fluid therapy.

Expert Solution & Answer

Explanation of Solution

Loss of water as well as electrolytes occurs in case of diarrhoea and vomiting. An elderly, sick person having or had diarrhoea and vomiting must drink minimum of 1.7 litres of water within 24 hours of time. Mrs. H had some water, which will be not sufficient to meet the water and electrolytes demand required by her body. Oral rehydration therapy as well as intravenous administration is effective in the treatment of dehydration caused by diarrhoea and vomiting.

Conclusion

Mrs. Beck’s oral fluid replacement was problematic because she did not drink enough water and it will not contain sufficient electrolytes required to replenish the loss.

Answer 6

Chapter 42, Problem 1CAQ

Summary Introduction

To determine:

What was problematic about Mrs. Beck’s oral fluid replacement at home when she had vomiting and diarrhoea?

Case summary:

Mrs. H is 72-year-old and she fell down at home because she was light-headed due to vomiting and diarrhoea for the past 24 hours. She knew that she needed some fluid and therefore she had some water. She was hospitalized for intravenous and oral fluid therapy.

Expert Solution & Answer

Explanation of Solution

Loss of water as well as electrolytes occurs in case of diarrhoea and vomiting. An elderly, sick person having or had diarrhoea and vomiting must drink minimum of 1.7 litres of water within 24 hours of time. Mrs. H had some water, which will be not sufficient to meet the water and electrolytes demand required by her body. Oral rehydration therapy as well as intravenous administration is effective in the treatment of dehydration caused by diarrhoea and vomiting.

Conclusion

Mrs. Beck’s oral fluid replacement was problematic because she did not drink enough water and it will not contain sufficient electrolytes required to replenish the loss.

Answer 7

Chapter 42, Problem 1CAQ

Summary Introduction

To determine:

What was problematic about Mrs. Beck’s oral fluid replacement at home when she had vomiting and diarrhoea?

Case summary:

Mrs. H is 72-year-old and she fell down at home because she was light-headed due to vomiting and diarrhoea for the past 24 hours. She knew that she needed some fluid and therefore she had some water. She was hospitalized for intravenous and oral fluid therapy.

Answer 8

Expert Solution & Answer

Explanation of Solution

Loss of water as well as electrolytes occurs in case of diarrhoea and vomiting. An elderly, sick person having or had diarrhoea and vomiting must drink minimum of 1.7 litres of water within 24 hours of time. Mrs. H had some water, which will be not sufficient to meet the water and electrolytes demand required by her body. Oral rehydration therapy as well as intravenous administration is effective in the treatment of dehydration caused by diarrhoea and vomiting.

Answer 9

Expert Solution & Answer

Answer 10

Expert Solution & Answer

Answer 11

Conclusion

Mrs. Beck’s oral fluid replacement was problematic because she did not drink enough water and it will not contain sufficient electrolytes required to replenish the loss.

Answer 12

Ch. 42 - Prob. 1CAQ Ch. 42 - Prob. 2CAQ Ch. 42 - Prob. 3CAQ Ch. 42 - Prob. 1RQ Ch. 42 - Prob. 2RQ Ch. 42 - Prob. 3RQ Ch. 42 - Prob. 4RQ Ch. 42 - Prob. 5RQ Ch. 42 - Prob. 6RQ Ch. 42 - Prob. 7RQ

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