Mr. Lew was transported to the emergency room (ER) by emergency transport. City police officers called an ambulance after finding Mr. Lew lying in an alley with apparent unconsciousness. The emergency medical team started an intravenous (IV), and upon arriving at the ER, Mr. Lew had regained consciousness but is now unconscious again. Physical data collected included the following:
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Physical appearance is unkempt and dirty.
Odor suggests consumption of alcohol is likely.
T 96, P 124, R 36, B/P 90/40
Very emaciated appearance
Legs and arms very dry and flaky
Mottled purplish areas to lower extremities
Edema 3+ in ankles and lower legs
Abdomen tight and distended
Facial color and nail beds pale
No response to painful or verbal stimuli
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After physician examination, Mr. Lew was admitted to the hospital with malnutrition, R/O pancreatitis, and cirrhosis of the liver due to ETOH abuse.
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Mr. Lew has no family or friends present and his level of awareness will greatly restrict data collection. List the data collection methods that are available considering Mr. Lew's condition. Identify any tools you will need to collect assessment data to begin the planning phase.
Data collection methods include a physical examination, including anthropometric measurements, a nursing history, and biochemical analyses. When Mr. Lew regains complete orientation, a dietary history and dietary recall can be done. Scales, tape measure, and a stethoscope are needed. A dietary history will be difficult to complete; however, the location of his body (in an alley) may indicate the type of lifestyle he has been leading. Tools needed will vary but may include paper, pencil, thermometer, stethoscope, sphygmomanometer, and watch.?
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If so, how: a. +1.1 pounds b. -1.1 pounds c. -2.2 pounds d. +2.2 pounds
In studies of normal-weight men who were starved and then refed, the effects of starvation on RMR persisted even after the starvation was no longer present
Indicate whether the statement is true or false
Overfeeding an acutely stressed patient improves nitrogen balance and decreases lean tissue losses
Indicate whether the statement is true or false
The best vitamin B-6 food sources include
A. enriched breads and cereals. B. deep yellow/orange fruits and vegetables. C. meat, fish, and poultry. D. milk and dairy products.