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Author Question: Define stroke. Describe the differences between ischemic and hemorrhagic strokes. What will be an ... (Read 55 times)

Kthamas

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on: Aug 21, 2018
Define stroke. Describe the differences between ischemic and hemorrhagic strokes.
 
  What will be an ideal response?

Question 2

What dietary assessment tools that target nutrients known to be associated with hypertension and CVD risk might be useful in assessing Mrs. Moore's diet?
 
  What will be an ideal response?

Question 3

Should any micronutrients be supplemented for the AKI patient treated with CRRT? Are there other micronutrients that should be avoided during an episode of AKI treated with CRRT?
 
  What will be an ideal response?


mmpiza

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Reply #1 on: Aug 21, 2018
Answer to Question 1

 Stroke is defined as a disruption of brain function caused by interruption of blood flow to the brain.
 Ischemic stroke refers to a reduction in blood flow caused by atherosclerotic or damaged blood vessels that supply blood to the brain. A thrombotic stroke may also result via a plaque breaking off and occluding an already narrowed vessel.
 Hemorrhagic stroke results from a weakened blood vessel that ruptures and bleeds into the surrounding brain; blood accumulates and compresses surrounding brain tissue.

Answer to Question 2

 CAGE (cheese, animal fats, got it away from home, and eat extra high-fat commercial products) for saturated fats and cholesterol
 Rapid Eating Assessment for Patients (REAP)
 MEDFICTS assessment for adequacy in comparison to the TLC diet

Answer to Question 3

 K, Mg, PO4, and Ca should be added/replaced based upon the diuretic phase of the CRRT and the patients serum levels.
 Deficiencies of Se, Cu, thiamin may also occur
 It is suggested to provide daily supplementation of 1 mg folate, 10 mg pyridoxine, the age and sex appropriate DRI for vitamin C (prevent oxalosis), 100 g Se, and a daily renal multivitamin for AKI patients receiving CRRT
 Vitamin A should probably not be supplemented due to the potential for toxicity
 Vitamin D supplementation may be needed if secondary parathyroidism is present due to CKD or levels are low in the critically ill
 Vitamin K should be supplemented if the patient is on PN and receiving antibiotic medication


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Kthamas

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Reply #2 on: Aug 21, 2018
Both answers were spot on, thank you once again


mmpiza

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Reply #3 on: Aug 21, 2018
Great! Please up vote :D


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