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

Author Question: On a separate sheet of paper assume that Mr. N will go home on a diet and estimate what that diet ... (Read 188 times)

abern

  • Hero Member
  • *****
  • Posts: 533
On a separate sheet of paper assume that Mr. N will go home on a diet and estimate what that diet will be. Include in your estimate the number of kcals he should have, the grams and percent of protein, the grams and percent of carbohydrate, the grams and percent of fat, the cc of fluid, the grams of Na, and any other restrictions or supplements that you feel are necessary.

Question 2

Describe the mechanism of action and possible nutritional complications of furosemide.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

mjenn52

  • Sr. Member
  • ****
  • Posts: 351
Answer to Question 1

The kcals should be about the same, more if he can tolerate them to gain wt. Assume a kcal intake of 2500
Protein will vary according to his degree of recovery; 0.8 - 1.0 g/kg may be his tolerance level. 1.0 g/kg = 68 g. 68  4 = 272 kcals or 272/2500 = 10.8

The protein would be increased as tolerated. Fat as tolerated. Initially try 30 and gradually increase to 40 if tolerated. 40 of 2500 = 1000 kcals; 1000/9 = 111 g of fat.

With 1000 kcals coming from fat, and 272 from protein, this is 1272 kcals and leaves 1228 to come from CHO. 1228/2500 = 49 or 1228/4 = 307 g.

Fluid as tolerated, probably between 1 and 1.5 L. Na would be between 1 and 2 g. A good vitamin and mineral supplement per day would be in order.

Answer to Question 2

furosemide (Lasix): inhibits reabsorption of sodium and chloride at the proximal portion of the ascending loop of Henle. Possible nutritional complications include abdominal discomfort and pain, diarrhea (with oral solutions). Hypokalemia, fluid and electrolyte imbalances, hypocalcemia, hypomagnesemia, hyperglycemia and impairment of glucose tolerance, dehydration.




abern

  • Member
  • Posts: 533
Reply 2 on: Aug 2, 2018
YES! Correct, THANKS for helping me on my review


olderstudent

  • Member
  • Posts: 339
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

The first successful kidney transplant was performed in 1954 and occurred in Boston. A kidney from an identical twin was transplanted into his dying brother's body and was not rejected because it did not appear foreign to his body.

Did you know?

The highest suicide rate in the United States is among people ages 65 years and older. Almost 15% of people in this age group commit suicide every year.

Did you know?

There are approximately 3 million unintended pregnancies in the United States each year.

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

For a complete list of videos, visit our video library