Answer to Question 1
Elevated AST and ALT lab results suggests liver damage/fatty accumulation
Diagnosed after exclusion of all other causes of abnormal LFTs and results from liver ultrasound
Dyslipidemia (primarily high triglycerides) and altered glucose values are associated with NAFLD.
Dyslipidemia as a risk factor may be only associative with NAFLD when obesity and insulin resistance are present.
Answer to Question 2
20 mL/hour of Peptamen Bariatric and increase as tolerated by 10-20 mL every 8-12 hours until goal rate of 80 mL/hour (based on 22 hours per day for an ICU patient) is reached. This will provide 1760 mL total volume, 1760 total kcalories, 164 g protein, and 1478 mL free water. Provide approximately 5 flushes of 60 mL free sterile water throughout the day (every 4 hours).
This formula is chosen for Mr. McKinley because it has a high protein-to-calorie ratio and can help meet the protein requirement for the critically ill obese population. It is also a hydrolyzed formula, which may assist in optimal absorption. It has a lipid profile to support modulation of proinflammatory mediators in the critically ill, along with carbohydrate levels to support the nutrition management of blood glucose levels for those with diabetes or under metabolic stress. A continuous feed would be best for Mr. McKinley because a continuous feed with a slower advancement will be better tolerated with his bowel reconstruction and allow for a more stabilized blood glucose.
A Common wild boar piglet in the Netherlands
funny signs
(a) Chimpanzees and (b) bonobos likely diverged from a common ancestor due to allopatric speciation
Diagonal pliers are another common tool that has many names.
A culex tarsalis mosquito, a common vector of the spread of West Nile virus.
Harry and Gus fish the same lake together from the same boat. Each morning Harry typically ...