Mr. Page underwent resection of 200 cm of jejunum and proximal ...

[bucstennis@aim.com]

Mr. Page underwent resection of 200 cm of jejunum and proximal ileum. The ileocecal valve was preserved. Mr. Page did not have an ileostomy, and his entire colon remains intact.
 
  How long is the small intestine, and how significant is this resection?

Question 2

List all medications that Mr. Angelo is receiving. Identify the action of each medication and any drug-nutrient interactions that you should monitor.
 
  What will be an ideal response?

[mmj22343]

Answer to Question 1

The entire small intestine is approximately 15-16 feet (4.6-4.9 m) long.
The first 9-11 inches is the duodenum.
The second portion of the small intestine is the jejunum, which is approximately 9-10 feet in length.
The ileum is the final portion of the small intestine and is approximately 4 feet in length. 200 cm (2 m) is approximately 44 of his entire small intestine.
Usually, when less than 50 of the small intestine is resected, normal digestion and absorption can be expected.

10 What nutrients are normally digested and absorbed in the portion of the small intestine that has been resected?

Answer to Question 2

 Ascorbic acid  support of wound healing
 Chlorhexidine  oral hygiene protocol
 Famotidine tablet  stress ulcer prophylaxis
 Heparin injection  provided for DVT prophylaxis; interactions: maintain fixed vitamin K intake
 Insulin regular injection  treatment of hyperglycemia and underlying history of diabetes mellitus; interactions: be aware of potential for hypoglycemia
 Multivitamin tablet  support nutritional needs and wound healing
 Zinc sulfate  support nutritional needs and wound healing
 Methadone  pain management
 Oxandrolone  anabolic steroid used to reduce catabolism
 Senna tablet  used as bowel/ stool softener; interactions: can cause electrolyte disturbances
 Docusate oral liquid  used as bowel/ stool softener; interactions: can irritate throat, cause nausea, or abdominal cramping
 Silver sulfadiazine  used for topical treatment of burn wound
 Midazolam HCl (Versed) 100 mg in sodium chloride 0.9 100 mL IV infusion, initiate infusion at 1 mg/hr  sedative; interactions: avoid grapefruit
 Hydromorphone (Dilaudid)  pain management
 Fentanyl (Sublimaze)  pain management
 Propofol (Diprivan)  sedative. Since propofol is in a 10 IV fat emulsion, need to monitor triglyceride level and lipid clearance and account for energy provided by this medication within nutrition intervention.
 Thiamin  prescribed due to history of regular alcohol ingestion for prevention of Wernicke's encephalopathy
 Folate  prescribed due to history of regular alcohol ingestion for prevention and treatment of potential deficiency

[bucstennis@aim.com]

TY

[mmj22343]

You're welcome