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

Author Question: List factors that you would monitor to assess the tolerance to and adequacy of nutrition support. ... (Read 75 times)

Davideckstein7

  • Hero Member
  • *****
  • Posts: 555
on: Aug 21, 2018
List factors that you would monitor to assess the tolerance to and adequacy of nutrition support.
 
  What will be an ideal response?

Question 2

Would you make any changes to his prescribed nutrition support? What should be monitored to ensure adequacy of his nutrition support? Explain. What recommendations would you make to transition to enteral feeding?
 
  What will be an ideal response?


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Bsand8

  • Sr. Member
  • ****
  • Posts: 327
Reply #1 on: Aug 21, 2018
Answer to Question 1

 Since feeding access is in jejunum, checking of gastric residual volumes is not indicated. Monitor for abdominal distention, pain, emesis, bowel movements.
 Weekly indirect calorimetry will be beneficial to assess under or over feeding.
 Monitor weekly CRP and prealbumin levels.
 Monitor weekly LFTs due to oxandrolone treatment.
 Monitor labs for electrolyte imbalance, renal function (e.g. BUN, creatinine), and glycemic control; 1-3 times daily.
 Daily I/O charts: tube feeding intake, bowel movements
 Wound healing assessment with burn team
 Nitrogen balance: UUN (weekly)

Answer to Question 2

It would be best to continue with the current regimen as it meets his measured energy requirements. Assess actual intake from intake/output records to ensure the prescription meets estimated nutrient needs. Obtaining nitrogen balance will help support current rationale for nutrition prescription.
When able, wean Mr. Page from the parenteral nutrition support to enteral nutrition support or an oral diet..


Davideckstein7

  • Member
  • Posts: 555
Reply 2 on: Aug 21, 2018
Wow, this really help

juliaf

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Earwax has antimicrobial properties that reduce the viability of bacteria and fungus in the human ear.

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

Did you know?

Chronic marijuana use can damage the white blood cells and reduce the immune system's ability to respond to disease by as much as 40%. Without a strong immune system, the body is vulnerable to all kinds of degenerative and infectious diseases.

Macaroni and Cheese Nutrition Label Macaroni and Cheese Nutrition Label
Risk Factors for Developing Breast Cancer Risk Factors for Developing Breast Cancer
Schematic diagram of virulence factors of Helicobacter pylori. Schematic diagram of virulence factors of Helicobacter pylori.
Risk Factors for NSAID-Induced Gastrointestinal Ulcers Risk Factors for NSAID-Induced Gastrointestinal Ulcers
Clear the tarsals, metatarsals, and toes. Stand at the end of the table, support the plantar surface ... Clear the tarsals, metatarsals, and toes. Stand at the end of the table, support the plantar surface ...
Nutrition Nutrition
Video: Mechanics of Sound Animation

For a complete list of videos, visit our video library