Author Question: Identify the major sources of sodium and saturated fat in Mrs. Moore's diet. Compare her typical ... (Read 26 times)

jake · **on:** Aug 21, 2018

Identify the major sources of sodium and saturated fat in Mrs. Moore's diet. Compare her typical diet to the components of the DASH diet.

What will be an ideal response?

Question 2

Outline the appropriate nutrition support plan for Mr. Maddox.

What will be an ideal response?

stanleka1 · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

Sodium: tomato bisque soup, saltines, chicken and potato with added salt, ranch dressing, popcorn, donut
Saturated fat: margarine with oatmeal; donut; chicken; buttered potato, carrots, and popcorn
Mrs. Moore's diet is high in fats, processed foods, sodium, and meats, while low in whole grains, fruits, vegetables, low-fat dairy, and nuts/seeds/legumes in comparison to the DASH diet.

Answer to Question 2

When enteral access is available, recommend starting Nepro in order to meet kcalorie and protein needs. In order to avoid electrolyte imbalances, start very slowly at 10 mL/hr and advance by 10 mL q 6 hours/as tolerated to goal rate of 70 mL/hr (based on 22 hours per day to account for interruptions in the ICU). This will provide 1540 ml, 2772 kcal, 125 grams protein, and 1120 mL free water (33 kcal/kg, 1.5 g protein/kg). Provide approximately 1652 mL free water via maintenance IV or divided flushes.