This topic contains a solution. Click here to go to the answer

Author Question: How may these interventions (from 22) change as he progresses postoperatively? Discuss how Mr. Seyer ... (Read 27 times)

mmm

  • Hero Member
  • *****
  • Posts: 558
How may these interventions (from 22) change as he progresses postoperatively? Discuss how Mr. Seyer may transition from enteral feeding to an oral diet.
 
  What will be an ideal response?

Question 2

How does physical activity affect blood glucose levels? Rachel is a soccer player and usually plays daily. What recommendations will you make to Rachel to assist with managing her glucose during exercise and athletic events?
 
  What will be an ideal response?



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

dudman123

  • Sr. Member
  • ****
  • Posts: 304
Answer to Question 1

 The initial oral diet will be modified in texture (softened/pureed foods and thickened liquids)
 The SLP will have to assess Mr. Seyer's swallowing capacity and a modified-textured diet will be prescribed.
 As the oral diet increases in adequacy, enteral feeding can be reduced.
- A general rule of thumb is that when oral intake meets 60 of estimated energy requirements, enteral feeding can be weaned.
 An option for Mr. Seyer is that he receive his enteral feeding cycled at night and be able to consume solid food while awake.

Answer to Question 2

Physical activity can greatly affect blood glucose levels. The benefits of exercise far exceed the risks. For example, exercise can improve Hgb A1c percentages, improve blood lipid levels and blood pressure, reduce the risk of developing cardiovascular disease, and improve one's ability to cope with stress.
However, both hypoglycemia and hyperglycemia are acute risks of exercise. Exercise naturally lowers blood glucose levels, especially during unusually strenuous, sporadic, or prolonged exercise (greater than 1 hour). If the diabetic poorly controls her/his blood sugar, exercise can actually cause hyperglycemia and the production of ketones. When insulin is not available, counter-regulatory hormones that increase during exercise cause an increase in hepatic glucose production and free fatty acids from fat metabolism.
Because of this, blood glucose should be monitored before, during, and after the exercise to identify how blood sugar levels change. For moderate exercise lasting less than 30 minutes, additional carbohydrate or insulin adjustment is not needed. In some cases, carbohydrate could be administered without insulin coverage. A small snack (15 grams of carbohydrates) can be eaten if the exercise will last longer than 30 minutes. This should be adequate for each hour of moderate physical activity. For each hour of strenuous exercise, a 30-gram snack of carbohydrate is needed. Also, insulin adjustments might be needed. For most, a 20 or greater decrease in insulin during the period of exercise is necessary.




mmm

  • Member
  • Posts: 558
Reply 2 on: Aug 21, 2018
Wow, this really help


dyrone

  • Member
  • Posts: 322
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

Approximately 25% of all reported medication errors result from some kind of name confusion.

Did you know?

The U.S. Preventive Services Task Force recommends that all women age 65 years of age or older should be screened with bone densitometry.

Did you know?

Pubic lice (crabs) are usually spread through sexual contact. You cannot catch them by using a public toilet.

Did you know?

The most dangerous mercury compound, dimethyl mercury, is so toxic that even a few microliters spilled on the skin can cause death. Mercury has been shown to accumulate in higher amounts in the following types of fish than other types: swordfish, shark, mackerel, tilefish, crab, and tuna.

For a complete list of videos, visit our video library