Mr. Stanley Edward, a 58-year-old African American male, was admitted to the emergency room of the medical center upon being found unconscious in his car in a parking lot and resuscitated. His history was obtained by contacting his daughter. The patient presents with:

• end-stage adenocarcinoma of the gastroestophageal juncture.
• chronic malnutrition and significant weight loss × 1 year. Low BMI, loss of muscle, loss of subcutaneous fat, bitemporal wasting.
• acute pancreatitis with intractable vomiting.
Medical Hx: Hypertension; S/P stroke @ age 56; cataract surgery. Meds: antilipemic medication, antihypertensive medication.
Hx: Lifelong chain smoker (2 packs per day); alcohol abuse since his late 20s.
Ht: 5'8". Admission Wt: 107 lbs. Usual Wt, 1 year ago: 170 lbs.
Social Hx: Lives alone; cooks and shops for himself despite illness.
Dietary Hx: Previously followed a low-cholesterol, low-sodium, high-potassium diet.
Mr. Edward is not being actively treated for cancer at his request. Plan is to keep Mr. Edward NPO and place a peripheral line for hydration and nutrition support.
Mr. Edward's blood glucose level rises to 350 mg/dL. What will the health care team likely do about this?

a. nothing; this is acceptable for a patient receiving TPN
b. taper off his lipids infusion
c. stop his TPN infusion entirely
d. infuse insulin with his TPN


d

Nutritional Science

You might also like to view...

Legumes, such as pinto or black beans, are a good source of dietary fiber.

Answer the following statement true (T) or false (F)

Nutritional Science

Iron deficiency can have deleterious effects before anemia is diagnosed. A manifestation attributed to iron deficiency is:

a. changes in affect or mood. b. inability to maintain sleep. c. easy bruising. d. joint pain.

Nutritional Science

Define hypoglycemia

Nutritional Science

Foods can be contaminated by the rotavirus by the oral-fecal route.?

Indicate whether the statement is true or false

Nutritional Science