Answer to Question 1
The RD should monitor the nursing flow sheet for intake/output records. These records will indicate the amount of formula the patient is actually receiving. The intake/output record will indicate gastrointestinal tolerance to the feeding by documentation of urine and/or stool output. Daily weights and fluid balance, which are essential to monitor during nutrition support, will also be documented through this format. Regular monitoring of electrolytes, glucose, BUN, and creatinine within her chemistry laboratory values will indicate systemic tolerance to the enteral feeding.
Answer to Question 2
Her low laboratory values for RBC, Hgb, and Hct all indicate a risk of anemia.
Checking her ferritin and ZPP may allow for diagnosis of a true anemia. Elevated transferrin levels can help indicate iron-deficiency anemia, too.
It is important to note, however, that these values may be affected by her disease state.
Though her RBC is actually decreased, in many patients with COPD, polycythemia is a result of dysregulated feedback abnormalities that result as a response to chronic hypoxia.
A whale off Australia on the spring migration, feeding on krill by turning on its side and propellin
Adult European beewolf (Philanthus triangulum) feeding on nectar
A physician is performing a colonoscopy on a client and viewing the internal structures of the colon
Effects of Force Feeding
The fuel level must be above 15% and below 85% before the EVAP monitor will run on most vehicles.