A patient who uses CPAP at home for sleep apnea and carbon dioxide retention is being mechanically ventilated for acute respiratory failure
Considering this patient's nutritional needs, which of the following might be indicated for this patient? 1. low carbohydrate tube feedings
2. hyperalimentation with a base solution of Dextrose 10% and water
3. peripheral intravenous infusion of Dextrose 10% and water
4. intralipid infusion per day
1
Rationale: Pulmonary patients may require special consideration of carbohydrate loading because of the high carbon dioxide by-product produced, which can further complicate acid–base balance. In such cases, special low carbohydrate tube feedings may be ordered. There is not enough information to suggest that the patient needs to receive hyperalimentation or intralipid infusions.
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