Author Question: Mitch was NPO when admitted to the hospital. What does this mean? What are the signs that will alert ... (Read 97 times)

rmenurse · **on:** Aug 21, 2018

Mitch was NPO when admitted to the hospital. What does this mean? What are the signs that will alert the RD and physician that Mitch may be ready to eat?

What will be an ideal response?

Question 2

Assess Jamey's weight using the CDC growth charts provided (p. 8): What is Jamey's BMI percentile? How is her weight status classified? Use the growth chart to determine Jamey's optimal weight for her height and age.

What will be an ideal response?

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

Answer to Question 1

NPO translates to nothing by mouth. Mitch was not allowed to consume liquids or foods by mouth. The only source of hydration that Mitch was receiving was the saline solution that was being administered intravenously.
Since Mitch was vomiting, he was made NPO. After 8 hours of not vomiting, Mitch will probably be ready to eat solid foods. He will then probably be initiated on a low-residue, low-fat diet with foods such as bananas, rice, applesauce, and toast. Small meals may be better tolerated, as well as foods at room temperature and smooth consistency (due to potential soreness from vomiting).
He will be more inclined to eat when his blood glucose levels go down and when he does not feel so drowsy and disoriented.

Answer to Question 2

BMI: 24.9, percentile: >95th.
Jamey would be classified as obese. The CDC and others regard this child to be in the highest weight classification for age.
The approximate optimal weight for Jamey's age is 70-72 lbs and her approximate optimal height for age is 55 in.