Author Question: Determine the amount of energy that Mrs. Caldwell's PD prescription will provide each day. How will ... (Read 45 times)

javeds · **on:** Aug 21, 2018

Determine the amount of energy that Mrs. Caldwell's PD prescription will provide each day. How will this affect your nutrition recommendations?

What will be an ideal response?

Question 2

Identify the steps you would take to monitor Mr. Campbell's nutritional status while he is hospitalized. How would this differ if you were providing follow-up care through his physician's office?

What will be an ideal response?

jointhecircus · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

CCPD daily. Ca 2.50; Mg 0.5, Dextrose 2.5. Total fills (or exchanges) 3 (3 fills/cycle 2500 mL). Total fill volume/24 hours: 7500 mL.
Estimating intake using a percentage of grams absorbed:
(Grams infused/day of monohydrous glucose) x 3.4 kcal = available kilocalories
Multiply available kilocalories by: 60-70 absorption for CAPD
7.5 L of 2.5; 10 x 25 g/L = 187.5 g
187.5 g x 3.4 kcal/g x 0.6-0.7 = 382.5-446.25 kcal from CAPD

Answer to Question 2

While hospitalized: monitor intake/ output; monitor patient satisfaction with high-calorie, high-protein supplements, modulars, and food provided; monitor daily weight and lab values (concern for K+, Mg2+, and Pi due to potential for refeeding syndrome)
If providing follow-up care through his physician's office, you could track intake/output and weight over time (weeks-months) to get a more accurate picture of the patient's actual energy and protein requirements. Can also monitor changes in functional indicators (grip strength, etc.) and body composition (edema, muscle loss, loss of fat mass) over time.