A nutritionally unstable patient who is receiving enteral feedings should have fluid status assessed at least:
a. every day.
b. 3 times per week.
c. every week.
d. every 1-2 weeks.
e. prn.
Question 2
JB is a 53 yo male who was recently divorced. He has experienced periods of depression and decreased appetite. Family reports history of heavy drinking habits and 15 weight lost. He was previously diagnosed with cirrhosis and portal hypertension and paracentesis and TIPS procedures were performed. Mr. JB's condition seems to have worsened; he c/o stomach pains, nausea, and vomiting at times. His abdomen is sore to touch and feels swollen. Mr. JB has developed ascites and pedal edema; his urinary output has decreased and he continues to lose weight. Mr. JB also c/o pain when swallowing food. Because of JB's persistent symptoms, he's been admitted to the hospital. A referral to the SLP for a MBS was also ordered and resulted in dysphagia, pureed diet recommended. By day 2 Mr. JB still c/o of nausea and no po intake has been reported. The MD prescribed dietary consult: RD to assess patient and recommend alternate means of nutrition support, currently NPO. Ht: 5'11'' Wt: 145 UBW: 163 Dx: End-stage liver cirrhosis, dysphagia PMH: alcoholic cirrhosis, portal hypertension Labs: Na: 134 Cl: 101 BUN: 4 Alb: 2.3 TG: 305 Transferrin: 101 NH4: 53 Glu: 139 AST: 45 ALT 48 Alk Phos: 40 Bilirubin: 2.1 K: 5.2 CO2: 25 Cr: 1.8 H/H: 11/35 Diet: NPO Meds: Neomycin, Aldactone, Lasix, Reglan How will the registered dietitian determine JB's protein needs?
a. 0.8-1.0 g/kg
b. 1.0-1.2 g/kg
c. 1.4-1.6 g/kg
d. 1.8-2.0 g/kg
e. > 2 g/kg
The liver in this photograph was from a deceased patient with an advanced state of cirrhosis.
Amniotic fluid
Example of a patient statement.
Position of shunt to drain fluid in hydrocephalus.