QUESTION 1 Calculate the patient's: 1. % IBW 2. % UBW 3. $ weight loss (Interpret her % weight loss as not significant, significant, or severe.) 4. BMI (Round BMI calculation to one decimal place.) Interpret her BMI. QUESTION 2 Estimate her resting energy expenditure using the Mifflin St. Jeor equation. Multiply by an activity factor for ambulatory patients engaging in light activity. REE (9.99* wt) + (6.25 * ht) - (4.92 * age) -161 Add 250-500 kcals to her RMR for weight gain. = QUESTION 3 Calculate her protein needs as 1.0-1.2 g/kg. QUESTION 4 List 2 additional questions you will ask as you obtain a diet history from EG. QUESTION 5 Provide two specific suggestions for this patient to increase kcals and protein while adhering to the dietary laws she follows.
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- Patient A is a 34 years old female flight attendant, living at Seoul, Korea. She is diagnosed with diabetes mellitus. Her height is 4'8'' and weight is 165 lbs. What could be a proper patient care notes for her? Provide at least 5 to 10.Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Complications/symptoms if left untreated for the casePlease answer both questions. A 77-year-old postmenopausal woman presented at her GP for her yearly routine checkup. She has comorbid type 2 diabetes, gastroesophageal reflux disease (GORD) and hypertension. She also has a history of severe chronic lower-back pain. She has just received a diagnosis of osteoporosis and her GP wants to start her on therapy to reduce her fracture risk.Her laboratory results include a calcium level of 8.7 mg/mL (normal range 8.6 to 10.3 mg/dL), a 25-(OH) Vitamin D level of 9.2 ng/mL (normal range 25-80 ng/mL), parathyroid hormone (PTH) level of 24.8 pg/mL (normal range 10-55 pg/mL) and alkaline phosphatase level of 104 IU/L (normal range 38-126 IU/L).a) Discuss the laboratory results and outline possible causes for her osteoporosis.b) Which recommendations would you provide to manage her osteoporosis and reduce the risk of fractures?
- Mrs. Harris is a thin, 84-year-old widow who is a resident of a long-term care nursing facility. She had a CVA 1 ½ years ago and suffers from right hemiplegia and dementia. She is also incontinent of urine and stool and is confined to her bed or wheelchair. She recently had a bout of pneumonia and was admitted to acute care. She has now returned to the nursing home, having lost 7 lbs over the last three weeks. She is very weak and her blood work indicates that she is anemic. What factors indicate that Mrs. Harris is at risk for the development of decubitus ulcers? Include a brief reason for each factor. What factors indicate that Mrs. Harris is at risk for the development of contractures? Include a brief reason for each factor. What measures would be appropriate in the management of her care with regard to these two potential complications – decubitus ulcers and contractures? Include a brief reason for each measure.Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Detailed description of condition: (be sure to include organs and organ systems involved, naturally occurring control mechanisms or how the system normally functions, etc.)Please answer each question to the best of your ability. Clear, concise answers with full sentences are expected. Please use APA 6th edition for all references Mr. Salazar, a 57-year old male, presents to the Emergency Department (ED) with chest pain. He reports that the pain started about an hour after dinner, while he was working. He describes the pain as a “crushing pressure” located maternally and radiating down his left arm and to his back. He rates the pain a 4/10. On assessment, Mr. Salazar is diaphoretic and pale and complains of shortness of breath (SOB). 1. What further nursing assessments need to be performed for Mr. Salazar? 2. What interventions do you anticipate being ordered by the provider? Upon further assessment, the patient has no jugular vein distention (JVD), and no edema. His heart sounds are normal S1 and S2 present and lungs are clear with scattered wheezes on auscultation. His vital signs were as follows: BP 140/90 mmHg SpO2 90% on Room Air HR 92 bpm and…
- Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Additional tests that need to be performed to confirm the diagnosis: (include the name of the test, what it shows/indicates, and the expected results to confirm the diagnosis)Mr. KB is a 56-year-old patient with 3 years history of diabetes mellitus. He is currently receiving glibenclamide. His BP during the present visit is 130/85 mm Hg and PR is 82 bpm. Clinician is planning of starting low dose aspirin in the patient. Junior specialist in Department of Medicine would like to know regarding the latest recommendation on the use of aspirin in patients with Diabetes Mellitus? Whether Mr. KB requires low dose aspirin?The recommended dose for dilantin is 4-8 mg/kg/day q12h. The child weighs 11 pounds. Order: Dilantin 15 mg po q12h How much will the nurse administer?
- A 12-year-old child was admitted to the emergency department because of an asthma attack. Upon assessment, you found out that the child's weight measures 82.4 lbs. The primary care provider ordered 2 mg/kg of methylprednisolone (Solu-Medrol). The available stock dose is 125 mg/2mL. How many mL will the nurse administer? Fill in the blank and record round off your final answer using one decimal place. Answer: milliliters (ml).The recommended dose for dilantin is 4-8 mg/kg/day q 12h. The child weighs 11 pounds. Order: Dilantin 15 mg p.o. q12 h. How much will the nurse administer?Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Treatments and / or cures: (include frequency, duration, amounts, etc.)