« previous next »

Author Question: Describe the gradual increase of TF with the accompanying decrease of TPN and tell how long you ... (Read 23 times)

cool

  • Hero Member
  • *****
  • Posts: 570
on: Aug 2, 2018
Describe the gradual increase of TF with the accompanying decrease of TPN and tell how long you would expect to take before meeting Mrs. S's requirements with TF alone.

Question 2

Describe right side heart failure.


kkenney

  • Sr. Member
  • ****
  • Posts: 352
Reply #1 on: Aug 2, 2018
Answer to Question 1

One important observation is to be aware that the TPN should not be stopped suddenly and the tube feeding started full strength at the final flow rate. After not feeding by GI, food needs to be introduced gradually to prevent diarrhea. First, decide on the tube feeding to be started, then decide on the strength. The flow rate would probably be about 25 cc/hr with  strength for most feedings. Since there are many ways to determine the rate of increase, the answer here should be within the framework of your teaching. Another important point is to calculate the kcals and protein the patient is receiving from the tube feeding and decrease the TPN by the appropriate amount so that there is no change or little change in the total kcal/protein intake. As the tube feeding is increased, decrease the TPN. Without complications, Ms. S should be to her final flow rate at full strength by about the fifth day.

Answer to Question 2

This is failure of the proper functioning of the right ventricle with subsequent engorgement of the systemic veins. Pitting edema, enlargement of the liver, and ascites can be the result.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Did you know?

An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

The recent mass upheavals in Tunisia, Egypt, Libya, Yemen, and Syria gave political scientists a cha The recent mass upheavals in Tunisia, Egypt, Libya, Yemen, and Syria gave political scientists a cha
How long does it take for 90% of a sample of strontium-90 (half-life of 28.8 years) to decay? How long does it take for 90% of a sample of strontium-90 (half-life of 28.8 years) to decay?
Apply the body wrap substance to the back with long, smooth strokes, covering the area thoroughly. Apply the body wrap substance to the back with long, smooth strokes, covering the area thoroughly.
Describe the functions of fat in the body Describe the functions of fat in the body
The Internal Anatomy of a Long Bone The Internal Anatomy of a Long Bone
Video: Chloroplast Structure & Light Dependent Reactions (Photosystem 1 and 2 Cyclic Electron Flow)

For a complete list of videos, visit our video library