List factors that you would monitor to assess tolerance and ...

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List factors that you would monitor to assess tolerance and adequacy of nutrition support.
 
  What will be an ideal response?

Question 2

What does research tell us about the relationship between significant weight loss and prognosis in cancer patients?
 
  What will be an ideal response?

[Bison]

Answer to Question 1

 Physical Exam: abdominal distention, presence of N/V, bowel sounds
 Amount of formula delivered vs. amount recommended: calculate  of kcal received from prescription; check water flushes
 Body weight: calculate changes, interpret in the context of intake/output information
 Input/output/fluid status (stool output)
 Labs: serum electrolytes, BUN, Creatinine, glucose, nitrogen balance, hepatic proteins (CRP, albumin, prealbumin)
 Nausea/vomiting (and potentially abdominal pain)
 Progression of pancreatitis recoveryi.e., lipase and amylase improvements

Answer to Question 2

 Significant weight loss greatly increases risk of mortality in cancer patients.
 Malnutrition can:
- Reduce responsiveness to chemotherapy and radiation therapy
- Increase perioperative morbidity
- Reduce immune responses
- Worsen the quality of life
- Diminish likelihood of survival

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Gracias!

[nanny]

Thanks for the timely response, appreciate it