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Author Question: Mr. Walker was started on Pivot 1.5 50 mL/hr. How much energy and protein will this provide? Does ... (Read 55 times)

audie

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on: Aug 21, 2018
Mr. Walker was started on Pivot 1.5  50 mL/hr. How much energy and protein will this provide? Does it meet his estimated protein and energy needs that you determined in question 8?
 
  What will be an ideal response?

Question 2

The MD has prescribed omeprazole. What class of medication is this? What is the basic mechanism of the drug? What other drugs are available in this class? What other groups of medications are used to treat GERD?
 
  What will be an ideal response?


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bookworm410

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

50 mL/hr x 24 hr = 1200 mL/day
1200 mL/day x 1.5 kcal/mL = 1800 kcal/day
1200 mL/day x 93.8 g pro/1000mL = 169 g protein/day

Propofol (8.2 mL/hr) x 24 hr x 1.1 kcal/mL = 216 kcal
1800 + 216 mL = 2016 kcal

This rate of infusion of Pivot 1.5 for nutrition support only provides74 of his energy needs, but exceeds his protein needs (13 g/day more than upper limit of estimated needs).

Answer to Question 2

 Omeprazole is an acid pump or proton pump inhibitor.
 These drugs interrupt the action of the H+/K+-ATPase enzyme, which moves hydronium ions across parietal cell membranes in exchange for potassium ions, resulting in an inhibition of the secretion of HCl.
 Other proton pump inhibitors include lansoprazole, esomeprazole, and pantoprazole.
 Other drugs used to treat GERD include antacids, histamine-2 receptor antagonists, foaming agents, and prokinetic medications that increase gastric motility.


audie

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Reply #2 on: Aug 21, 2018
Thank you!


bookworm410

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Reply #3 on: Aug 21, 2018
Always glad to help...


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