Answer to Question 1
Glucose (high): Glucose may be elevated due to underlying diabetes.
HbA1c (high): 6.1 is consistent with a diagnosis of diabetes mellitus.
Cholesterol (high): The value is 201, which is just above the upper threshold and not a huge concern or a huge factor in the nutritional intervention for IBS, except that perhaps the patient may be advised to decrease fat intake, especially saturated fat intake.
Triglycerides (high): High, potentially due to excessive dietary fat intake. High dietary fat intake may contribute to IBS symptoms.
HDL-C (low): Not directly related to her IBS symptoms, but does place her at a greater risk for CVD (along with the other abnormal lipid values)
Answer to Question 2
RQ value = mol CO2 expired/ mol O2 consumed = 0.76
An RQ value of 0.7-0.8 indicates fat as the main energy source, an RQ of 0.8-0.9 indicates a mix of lipids, carbs, and some protein as energy sources, and an RQ of 0.9-1.0 indicates carbohydrates as the main energy source. According to the nutrition consult note, Mr. Perez's RQ was 0.76 . This indicates that while on TPN, fat is his primary energy source. This could be due to the propofol administered at 35 mL/hr (10 lipid solution). Also, this indicates that he is closer to a fasted state (<0.70), compared to overfeeding (>1.0). Although it is optimal to not over feed this patient, this could indicate that he is being underfed and may not be meeting his nutritional requirements.
Child with cerebral palsy has abnormal muscle tone and lack of physical coordination.
breasts abnormal
Lab Values
Critical lab Values
Laboratory mice demonstrate that genetic differences can have profound effects on the propensity to
Schematic of the Agitation Laboratory Apparatus CHE 415 Unit Operations II