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Author Question: Evaluate Mrs. Talbot's laboratory measures for nutritional significance. Identify all laboratory ... (Read 82 times)

tichca

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on: Aug 21, 2018
Evaluate Mrs. Talbot's laboratory measures for nutritional significance. Identify all laboratory values that are indicative of a potential nutrition problem.
 
  What will be an ideal response?

Question 2

Calculate this patient's total energy and protein needs.
 
  What will be an ideal response?


amandalm

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Reply #1 on: Aug 21, 2018
Answer to Question 1

Hgb, Hct, ferritin, RBC, and prealbumin are low. Transferrin is high.

Answer to Question 2

Energy needs: (Harris Benedict)
REE = 655.1 + 9.6 W (kg) + 1.9 S (cm) - 4.7 A (yrs)
REE = 655.1 + 9.6 x 56.8 kg + 1.9 x 160.02 cm - 4.7 x 26 yrs
REE = 1372.9  1400 kcal
TEE = 1372.9 x 1.3 (PA) x 1.1 (SF) = 1963.3  1950 kcal; range of 1900-2000 kcal/day

OR
American Chest Physician's nomogram: 25-30 kcal/kg: 1420  1704 kcal

Protein needs:
56.8 kg x 1.0-1.2 g/kg = 57-68 g/day


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