This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Why was TPN discontinued and D10W hung in its place during ... (Read 7 times)

Chloeellawright

  • Hero Member
  • *****
  • Posts: 588
on: Aug 2, 2018
Why was TPN discontinued and D10W hung in its place during surgery?

Question 2

CJ's weight is now down to 168 . Calculate his total caloric needs by calculating his BEE and an appropriate energy expenditure factor. Use the Harris-Benedict equation and appropriate factor found in Appendix A or use a formula of your own choosing.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Pamela.irrgang@yahoo.com

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Aug 2, 2018
Answer to Question 1

The stress of surgery will cause a change in BEE, insulin utilization, lipid utilization, and possible fluid shifts. This would make it impractical, if not impossible, to monitor and control TPN during surgery. However, if TPN were stopped completely without providing a source of glucose, the blood glucose level could drop very low; therefore, D10W was hung.

Answer to Question 2

BEE = 66 + 13.7  wt + 5  ht - 6.8  age
= 66 + 13.7  76.4 + 5  177.8  6.8  58
= 66 + 1047 + 889  394
= 2029  394
= 1635

Using a stress factor of 1.4: 1635  1.4 = 2289


Chloeellawright

  • Hero Member
  • *****
  • Posts: 588
Reply #2 on: Aug 2, 2018
Both answers were spot on, thank you once again


Pamela.irrgang@yahoo.com

  • Sr. Member
  • ****
  • Posts: 323
Reply #3 on: Aug 2, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

According to the American College of Allergy, Asthma & Immunology, more than 50 million Americans have some kind of food allergy. Food allergies affect between 4 and 6% of children, and 4% of adults, according to the CDC. The most common food allergies include shellfish, peanuts, walnuts, fish, eggs, milk, and soy.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

Hung Liu, Virgin/Vessel. Hung Liu, Virgin/Vessel.
Pin the skin and subcutaneous fascia on a spot on the back using the thumb of one hand; place the ... Pin the skin and subcutaneous fascia on a spot on the back using the thumb of one hand; place the ...
Place your hands on both sides of the upper arm, and squeeze along the anterior and posterior ... Place your hands on both sides of the upper arm, and squeeze along the anterior and posterior ...
Rhythmic compression to shoulders. Stand at the head and place one hand on each shoulder. Gently ... Rhythmic compression to shoulders. Stand at the head and place one hand on each shoulder. Gently ...
Brushing off to finish-front. Move to the front and place the person’s hands on his or her knees. ... Brushing off to finish-front. Move to the front and place the person’s hands on his or her knees. ...
For each substrate below, choose which reaction type is favored. Place the letter of the ... For each substrate below, choose which reaction type is favored. Place the letter of the ...
Video: Chemical Changes

For a complete list of videos, visit our video library