List factors that you would monitor to assess tolerance and adequacy of nutrition support
What will be an ideal response?
• Physical Exam: abdominal distention, presence of N/V, bowel sounds
• Amount of formula delivered vs. amount recommended: calculate % of kcal received from prescription; check water flushes
• Body weight: calculate changes, interpret in the context of intake/output information
• Input/output/fluid status (stool output)
• Labs: serum electrolytes, BUN, Creatinine, glucose, nitrogen balance, hepatic proteins (CRP, albumin, prealbumin)
• Nausea/vomiting (and potentially abdominal pain)
• Progression of pancreatitis recovery—i.e., lipase and amylase improvements
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Determine your enteral feeding recommendations for Mr. Mahon. Provide a formula choice, goal rate, and instructions for initiation and advancement
What will be an ideal response?
Increased homocysteine blood levels and normal levels of methylmalonic acid in the elderly are always related to vitamin B12deficiency.
Answer the following statement true (T) or false (F)
Which of the following situations will result in a buildup of ketones in the blood?
A) low levels of acetyl CoA due to increased fat mobilization B) high-carbohydrate diet C) low carbohydrate availability D) excess of tricarboxyl acid (TCA)-cycle intermediates
An adverse reaction to a food that does not involve the immune system is
A. a food deterrence. B. anaphylaxis. C. a food intolerance. D. a food allergy.