- Question 13 Case Study The Patient Is A 34 Year Old Woman With A 10 Year History Of Crohn S Ileocolitis She Is Admitted 1 (59.21 KiB) Viewed 15 times
- Question 13 Case Study The Patient Is A 34 Year Old Woman With A 10 Year History Of Crohn S Ileocolitis She Is Admitted 2 (61.32 KiB) Viewed 15 times
- Question 13 Case Study The Patient Is A 34 Year Old Woman With A 10 Year History Of Crohn S Ileocolitis She Is Admitted 3 (63.52 KiB) Viewed 15 times
QUESTION 13 Case Study The patient is a 34-year-old woman with a 10-year history of Crohn's ileocolitis She is admitted to the hospital with diarrhea, abdominal pain, and weight loss for the past three weeks. She has not responded to treatment of mosalamine and budesonide. She is a single mother and works full-time in an operating room as a nurse, Sho smokes % pack of cigarettes per day and rarely drinks alcohol. She generally skips breakfast and eats lunch in the cafeteria at work. She usually cats a salad with cheese, croutons and creamy dressing along with a large serving of fruit juice. For dinner she usually relies on fast food due to her children's busy schedule. She drinks chocolato milk with dinner and has a bowl of ice cream before going to bed. Over the past three weeks, she has been taking mostly liquids due to her pain and diarrhea. She typically drinks fruit punch and tea Height: 5:4 Weight140 UBW: 150# (10# wt loss times three weeks) Glucose 130 (H) Albumin 3.0 (L) CRP 6(H) Vit B12 162 (L) Iron 20 (L) 1. Calculate her BW.%BW, and %weight change 2. What are her estimated total energy and protein needs for each day? 3. Based on her laboratory values, what might she be malabsorbing? 4. Write one PES statement 5. What nutrition intervention would you recommend for her? Why? What specific nutrients and foods would you have her focus on? 6. Identify two problems that you would like to monitor and how you would monitor them, For the toolbar, press ALT+F10 (PC) or ALT+FN+F10 (Mac). BIUS Paragraph Topt A I % 6 3 X X 9 The 1 15 Ω Ο 田田田出田园 9 E图 Arial - V <> 0
QUESTION 14 JN is a 48 year old male who works as a retail manager of a local department store. He has been experiencing increased indigestion over the last year. He takes over the counter antacids as well as Atenolol (for HTN) and aspirin daily. He smokes about a pack per day of cigarettes and drinks one beer a night. He avoids fried foods because it makes his indigestion worse. His height if 59" and weight is 215# His usual dietary intake is as follows: AM: cups Cheerios with cup skim milk: 32 ounces orange juice Lunch: 1 % oz ham with whole wheat bagel: 1 apple or another fruit; 1 cup chips; diet soda Snack: Handful of crackers, cookies or chips PM: 6-9 ounces of meat (grilled or baked); 1-2 cups of pasta, rice or potatoes; fresh fruit salads or another steamed vegetables; bread: Iced tea Late PM Ice Cream Popcorn or Crackers, 1 bottle of lite beer The physician has diagnosed the patient with GERD based on the barium esophagram test List the risk factors the patient presents with that might be contributing to his GERD. What is your nutritional intervention to manage his GERD? Using his food recall above, what modifications would you make to his typical food intake? For the toolbar, press ALT+F10 (PC) or ALT+FN+F10 (Mac).
QUESTION 26 Jocelyn is a 27 year old woman diagnosed with PCOS four years ago. She has a history of irregular menstrual periods, occurring every 3-4 months and lasting 6 days, on average. She is insulin resistant The client had been prescribed metformin, although she confessed taking is only "sporadically. She lives with her grandmother who prepares most of the foods. She does have excess facial hair on her upper lip and chin; balding; acanthosis nigricans on back of neck; skin tags on neck; and excess weight in the abdominal area. Her height is 5'7" and weight is 225# Labs: Fasting Glucose 97 mg/dL A1C. 6.7% Triglycerides 230 mg/dL (H) Cholesterol 230 mg/dl (H) LDL cholesterol 105 mg/dL. 1. What signs and symptoms of PCOS does the patient have? 2. What do her labs indicate is happening related to her health now and possible future complications? 3. Identify three lifestyle modifications you would recommend to improve her health status.