« previous next »

Author Question: Describe the gradual increase of TF with the accompanying decrease of TPN and tell how long you ... (Read 45 times)

cool

  • Hero Member
  • *****
  • Posts: 570
on: Aug 2, 2018
Describe the gradual increase of TF with the accompanying decrease of TPN and tell how long you would expect to take before meeting Mrs. S's requirements with TF alone.

Question 2

Describe right side heart failure.


kkenney

  • Sr. Member
  • ****
  • Posts: 352
Reply #1 on: Aug 2, 2018
Answer to Question 1

One important observation is to be aware that the TPN should not be stopped suddenly and the tube feeding started full strength at the final flow rate. After not feeding by GI, food needs to be introduced gradually to prevent diarrhea. First, decide on the tube feeding to be started, then decide on the strength. The flow rate would probably be about 25 cc/hr with  strength for most feedings. Since there are many ways to determine the rate of increase, the answer here should be within the framework of your teaching. Another important point is to calculate the kcals and protein the patient is receiving from the tube feeding and decrease the TPN by the appropriate amount so that there is no change or little change in the total kcal/protein intake. As the tube feeding is increased, decrease the TPN. Without complications, Ms. S should be to her final flow rate at full strength by about the fifth day.

Answer to Question 2

This is failure of the proper functioning of the right ventricle with subsequent engorgement of the systemic veins. Pitting edema, enlargement of the liver, and ascites can be the result.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Normal urine is sterile. It contains fluids, salts, and waste products. It is free of bacteria, viruses, and fungi.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

A pleasant smile can go a long way, even through telephone lines. A pleasant smile can go a long way, even through telephone lines.
When using forearm pressure on the top of the shoulder, push with your back foot to increase your ... When using forearm pressure on the top of the shoulder, push with your back foot to increase your ...
As some groups do ethnic work, they produce a mythical long-lost heritage, as in this photo of ... As some groups do ethnic work, they produce a mythical long-lost heritage, as in this photo of ...
Endochondral ossification of long bone. Endochondral ossification of long bone.
Major Categories of Long-Term Memory Major Categories of Long-Term Memory
Rapid, long-distance signaling in plants Rapid, long-distance signaling in plants
Video: Muscle Fatigue and Recovery

For a complete list of videos, visit our video library