Assess Mr. Maddox's height, weight, and BMI. What factors from ...

[Garrulous]

Assess Mr. Maddox's height, weight, and BMI. What factors from his medical record will affect your interpretation of his weight?
 
  What will be an ideal response?

Question 2

Using the 2015 Dietary Guidelines, describe why decreased sodium intake is targeted as a focus to improve the health of Americans.
 
  What will be an ideal response?

[Jmfn03]

Answer to Question 1

Height: 6'2 (74), 1.88 m
Current weight: 225/102.2 kg
Admission weight: 208/94.5 kg
Admission BMI: 26.8 kg/m2 (overweight)
Ideal body weight: 190 lbs (86.3 kg ) or 171-209 per Hamwi equation +/- 10
The patient's admission weight most likely reflects his true weight, due to his AKI that occurred during his hospital stay. During an AKI, the patient is unable to excrete excess fluid and thus begins to retain it, which can cause a falsely high weight (fluid overload). His dry weight is most likely close to his admission weight. This is consistent with his medical record because of his documented 3+ pitting edema, +5,295 mL I/O since admission, and his poor urine output despite being on Lasix. He has also had a 17 weight gain since admission despite poor PO intake.

Answer to Question 2

 In hypertensive patients, reduction of dietary sodium to recommended levels lowers blood pressure by approximately 3.5.
 From 63-91 of women and 81-97 of men consumed more than the UL for sodium
 All age and sex groups consume far more than the UL for sodium
 Concern for its relationship to hypertension risk

[Garrulous]

Gracias!

[kjohnson]

TYSM