This topic contains a solution. Click here to go to the answer

Author Question: Determine Mr. Walker's energy, protein, and fluid requirements. Provide a rationale for the method ... (Read 30 times)

james

  • Hero Member
  • *****
  • Posts: 573
Determine Mr. Walker's energy, protein, and fluid requirements. Provide a rationale for the method you have used to estimate his needs.
 
  What will be an ideal response?

Question 2

The MD has decreased the patient's dose of daily aspirin and recommended discontinuing his ibuprofen. Why? How might aspirin and other NSAIDs affect gastroesophageal disease?
 
  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

ergserg

  • Sr. Member
  • ****
  • Posts: 338
Answer to Question 1

Energy Requirements:
American Chest Physicians
30-35 kcal/kg of current body weight: 2346-2737 kcal

Protein Requirements:
1.5-2.0 g/kg (per extreme protein wasting/hypermetabolism) x 78.2 kg = 117-156 g/day

Fluid Requirements:
35 mL/kg x 78.2 kg = 2737 mL/day  2700 mL/day
Or
1 mL/kcal x 2747 kcal = 2737 mL/day 2700 mL/day

Fluid needs may need to be altered per I/O records and vital signs (e.g. blood pressure)

Answer to Question 2

 Both of these medications can result in gastritis.
 Aspirin and NSAIDs cause gastrointestinal disease by 2 independent mechanisms:
 topical injury to the mucosa and
 systemic depletion of cytoprotective prostaglandins.
 Decreasing the aspirin dosage can allow it to provide cardiovascular protection while minimizing its toxic effect on the gastric mucosa




james

  • Member
  • Posts: 573
Reply 2 on: Aug 21, 2018
Wow, this really help


vickybb89

  • Member
  • Posts: 347
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

Glaucoma is a leading cause of blindness. As of yet, there is no cure. Everyone is at risk, and there may be no warning signs. It is six to eight times more common in African Americans than in whites. The best and most effective way to detect glaucoma is to receive a dilated eye examination.

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

Multiple experimental evidences have confirmed that at the molecular level, cancer is caused by lesions in cellular DNA.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Did you know?

Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.

For a complete list of videos, visit our video library