consume? H.Case Studies T.M. is a 57 yo male admitted with SOB and dyspnea. He has a PMH of DM, HTN . hyperlipidemia and CKD2.

CASE 6-34 Performance and Quality Evaluation and Improvement of the Health Information Management Department You have just been hired as the HIM quality coordinator.
November 13, 2019
During a client assessment, the nurse notes the costal angle is greater than 90° degre and anterior/posterior lateral chest ratio
November 13, 2019

consume? H.Case Studies T.M. is a 57 yo male admitted with SOB and dyspnea. He has a PMH of DM, HTN . hyperlipidemia and CKD2.

consume? H.Case Studies T.M. is a 57 yo male admitted with SOB and dyspnea. He has a PMH of DM, HTN . hyperlipidemia and CKD2. He reports a stable weight> year and a good appetite and PO intake prior to admission. T.M. reports he lives alone, is sedentary, and consumes mostly take-out meals, such as American Chinese food and fast foods. Weight: 97kg Height: 175cm BP: 144/94 DM Fingersticks (AccuChecks): 204-321mg/dLx 24 hours HgbAlc: 9.3% What is T.M. ‘s BMI? What category is his BMI? Show calculations a. b. What lab values are abnormal for T.M.? What do they indicate? c. Using Mifflin-St Jeor x 1.1, what are T.M.’s estimated energy needs? Show calculations d. What are two possible nutrition diagnoses for T.M.? 2. D.C. is a 94 yo female admitted with fever and pneumonia. She has a PMH of CAD and Alzheimer’s Disease, diagnosed 6 years ago. SLP conducts an evaluation and recommends a 5 DFN 348 Summer 2019 Pureed Diet with Nectar Thick Liquids for the patient and defers other therapeutic diet sa poor historian, therefore pt’s daughter provides diet and modifications to the RD. D.C. weight history. Pt’s daughter reports pt’s usual body weight one month ago was 56kg. Reports pt has become more lethargic beginning about three weeks ago and now coughs and chokes during meals and when sipping liquids. Pt’s daughter states she has started cutting up foods into smaller pieces for pt to eat and pt is often too lethargic to finish her meals, consuming <50% of her intake at baseline. Weight: 50kg Height: 165cm BP: 109/72 What is D.C.’s BMI? What category is her BMI? Show calculations. a. 20. QID B. Laboratory Values in chart form, define/explain the value, identify the normal range and causes of abnormality (high vs. low) 1. Sodium 2. Potassium 3. Calcium 4. BUN and Creatinine 5. GFR 6. Blood Glucose 1 Summer 2019 DFN 348 7. HgbAlc 8. Triglycerides 9. ALT/AST 10. Albumin C. Medications -in chart form, define the medication type, its function and nutritional implications 1. Furosemide 2. Atorvastatin 3. Warfarin 4. Sodium Bicarbonate 5. Levodopa 6. Mirtazapine 7. Renvela 8. Nephro-Vite 9. Calcium carbonate 10. Reglan 20. QID B. Laboratory Values in chart form, define/explain the value, identify the normal range and causes of abnormality (high vs. low) 1. Sodium 2. Potassium 3. Calcium 4. BUN and Creatinine 5. GFR 6. Blood Glucose 1 Summer 2019 DFN 348 7. HgbAlc 8. Triglycerides 9. ALT/AST 10. Albumin C. Medications -in chart form, define the medication type, its function and nutritional implications 1. Furosemide 2. Atorvastatin 3. Warfarin 4. Sodium Bicarbonate 5. Levodopa 6. Mirtazapine 7. Renvela 8. Nephro-Vite 9. Calcium carbonate 10. Reglan

 

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