Answer to Question 1
Meet the kcal needs according to size, activity, weight gain, and disease state if present; i.e., infection, fever, etc. Protein may increase to 1.0 g to 1.5 g/kg IBW depending on the conditions as mentioned above. Multiple vitamin and mineral supplement daily with additional increases as conditions warrant.
Answer to Question 2
The GTT that was formerly used to diagnose diabetes is still used, but it is not recommended to be used routinely. The old values were:
90 min < 200 mg/dl
2 hr < 140 mg/dl
3 hr < 125 mg/dl
Currently, the American Diabetes Association recommends the following criteria be used:
2-h postload glucose < 140 mg/dl (7.8 mmol/l) = normal glucose tolerance.
2-h postload glucose 140199 mg/dl (7.811.1 mmol/l) = IGT (impaired glucose tolerance).
2-h postload glucose 200 mg/dl (11.1 mmol/l) = provisional diagnosis of diabetes (the diagnosis must be confirmed, as described below).
Palpating the Apical Impulse with the Patient on the Left Side
General mitosis
Jeremy Bentham, A General Idea of a Penitentiary Panopticon, drawn by Willey Reveley.
ROM exercises on a patient’s wrist: extension.
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