Using Mrs. Washington's 24-hour recall, make suggestions for ...

[hubes95]

Using Mrs. Washington's 24-hour recall, make suggestions for consistency changes or food substitutions (if needed) to Mrs. Washington and her family.
 
  What will be an ideal response?

Question 2

Examine the laboratory results for Mr. Garcia. Which labs are consistent with the MI diagnosis? Explain. Why were the levels higher on 12/2?
 
  What will be an ideal response?

[carolinefletcherr]

Answer to Question 1

Orange juice Thickened orange juice
Raisin bran Cream of rice, oatmeal
2 milk OK as is
Banana Ripe, mashed banana
Coffee Thickened coffee
Sweetener OK as is
Chicken tortellini soup Bite-sized tortellini
Saltine crackers Broth/soup moistened roll/bread
Canned pears Minced or chopped pears
Iced tea Thickened iced tea
Fried pork chop Ground pork with gravy or broth
Baked sweet potat- Mashed sweet potatoes
Steamed broccoli Minced broccoli
Margarine OK as is
Canned peaches Minced or chopped peaches

Answer to Question 2

The following labs are consistent with the MI diagnosis:
 CPK, CPK-MB, LDH, AST, Troponin I, Troponin T.
 CPK is an enzyme found primarily in heart muscle, skeletal muscle, and the brain.
- When cells are damaged, the enzyme is released and serum levels will increase.
- The CPK-MB isoenzyme specific for myocardial tissue is important in evaluating onset of the myocardial infarction and degree of damage.
 LDH (lactate dehydrogenase) is an enzyme found in many tissues.
- Since LDH is found in many tissues, this lab is not a particularly sensitive measure of an MI.
 AST (aspartate aminotransferase) is also an enzyme found in high concentrations in cardiac tissue.
- Though not specific to an MI, when used in conjunction with the other labs it is useful to determine onset of myocardial damage.
 Troponin T and I are cardiac contractile proteins.
- They are released as myocardial cells die.
- These serum levels can be detected with greater sensitivity and are detectable within 20 minutes of injury.
The levels were higher on 12/2 because:
 CPK and CPK-MB rise 4-8 hours after an MI, peak at 12-24 hours, and return to normal after 72-96 hours.
 LDH rises within 24-72 hours after an MI, and returns to normal after approximately 4 days.
 AST rises within 6-10 hours of an MI, peaks within 24-48 hours, and returns to normal within 3-4 days.

[hubes95]

Thanks

[carolinefletcherr]

Welcome