Assess Mitch's intake/output record for the first 24 hours of his ...

[kodithompson]

Assess Mitch's intake/output record for the first 24 hours of his admission. What does this tell you? Assuming that Mitch tells you that his usual weight is 228 lbs., can you estimate the volume of his dehydration?
 
  What will be an ideal response?

Question 2

Jamey has been diagnosed with obstructive sleep apnea. What is obstructive sleep apnea? Explain the relationship between sleep apnea and obesity.
 
  What will be an ideal response?

[lcapri7]

Answer to Question 1

 According to his I/O record since admission, Mitch has a positive balance, meaning he consumed more fluid than there was fluid loss. His net input was 2140 mL. This means that he was dehydrated; i.e., greater input than output confirms that his body is being replenished with fluid. Otherwise, his net I/O would be more balanced.
 Usual weight = 228 lbs., current weight = 214 lbs. Weight loss = 228  214 = 14 lbs. lost. 14 lbs. / 228 lbs x 100 = 6 weight loss. 14 lbs / 2.2 = 6.4 kg or 6 liters of fluid loss (1 L = 1 kg).

OR 14 lbs / 2.2 . lbs/kg / 999.97 kg/m3 x (100 cm/m)3 / 1000 cm3/L  6.4 L

Answer to Question 2

 Sleep apnea literally means sleep without breath.
 It is diagnosed in individuals who experience periods (at least 10 seconds) of not breathing for a variety of reasons.
 In the case of Jamey, obstructive sleep apnea is caused by the collapse of soft tissue in the throat, which effectively blocks her air passage.
 Strong correlations exist between weight and occurrence of sleep apnea, especially with the size of a person's neck and visceral fat.
 Larger neck sizes put a strain on the airway, and visceral fat puts pressure on the lungs, decreasing lung function (although the function is not decreased during waking periods at rest).
 Additionally, Jamey may have tonsillar hypertrophy (another factor to consider with sleep apnea).