« previous next »

Author Question: This patient is receiving the medication propofol. Using the information that you listed in question ... (Read 30 times)

xroflmao

  • Hero Member
  • *****
  • Posts: 515
on: Aug 21, 2018
This patient is receiving the medication propofol. Using the information that you listed in question 6, what changes will you make to your nutritional regimen and how will you assess tolerance to this medication?
 
  What will be an ideal response?

Question 2

The members of the nutrition support team note his serum phosphorus and serum magnesium are at the low end of the normal range. Why might that be of concern?
 
  What will be an ideal response?


mistyjohnson

  • Sr. Member
  • ****
  • Posts: 331
Reply #1 on: Aug 21, 2018
Answer to Question 1

Patient is on 25 mL/h of propofol, which will provide 660 kcal/day. Discuss with medical team and if plan is to continue with propofol will need daily monitoring of calorie intake and titration of tube feeding goal rate accordingly. With the 60 mL/hr rate of infusion of Impact with Glutamine and the 25 mL/hr of propofol, the patient is receiving 2532 kcal/day (vs. needs of 2700-2900 kcal/day). Given this, consider increasing the goal rate to 66 mL/hr with propofol or 87 mL/hr without the propofol. Since propofol is in a 10 IV fat emulsion, need to monitor triglyceride levels and liver enzymes as a possible marker for ability to metabolize triglycerides.

Answer to Question 2

 Those levels may fall dramatically as Mr. Page receives nutrition support (due to refeeding syndrome).
 They will need to be maintained in order to prevent electrolyte imbalances.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Did you know?

Despite claims by manufacturers, the supplement known as Ginkgo biloba was shown in a study of more than 3,000 participants to be ineffective in reducing development of dementia and Alzheimer’s disease in older people.

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Did you know?

After a vasectomy, it takes about 12 ejaculations to clear out sperm that were already beyond the blocked area.

(A) PET scan of a healthy patient. (B) PET scan of a patient with schizophrenia. This patient will ... (A) PET scan of a healthy patient. (B) PET scan of a patient with schizophrenia. This patient will ...
How to integrate trigonometric functions containing even powers (Question 1) How to integrate trigonometric functions containing even powers (Question 1)
How to integrate using inverse trigonometric substitution (Question 6) How to integrate using inverse trigonometric substitution (Question 6)
economic question economic question
economic question economic question
Chemistry question Chemistry question
Video: Male Reproductive System - Testosterone

For a complete list of videos, visit our video library