Mr. R, a 35 yo drug user, is hospitalized after a motor vehicle accident (MVA). He is currently suffering from a severe
Posted: Fri Jun 10, 2022 11:30 am
Mr. R, a 35 yo drug user, is hospitalized after a motor vehicle
accident (MVA). He is currently suffering from a severe concussion
and lapses of consciousness, a broken jaw, multiple broken bones,
and possible internal injuries. He had not eaten anything for
several days PTA because he was overdosing on drugs. Enteral
feeding has been recommended in order to improve his nutritional
status and given his decreased level of alertness. The patient will
be bedridden until his mental status improves. A nasogastric
feeding tube has been inserted and the physician has asked for your
recommendation regarding the type of formula and amounts of
kcal/protein needed for this patient
Ht: 5’11” Current wt: 156 # UBW: 167 # Serum albumin: 3.0
mg/dL
1. What is an appropriate nursing diagnosis for this
patient?
2. Is the nasogastric feeding route appropriate for this
patient? Why or why not?
3. When starting parenteral nutrition on this patient, what
should be monitored?
4. When discontinuing parenteral nutrition, why is it
appropriate to continue to take glucose checks?
accident (MVA). He is currently suffering from a severe concussion
and lapses of consciousness, a broken jaw, multiple broken bones,
and possible internal injuries. He had not eaten anything for
several days PTA because he was overdosing on drugs. Enteral
feeding has been recommended in order to improve his nutritional
status and given his decreased level of alertness. The patient will
be bedridden until his mental status improves. A nasogastric
feeding tube has been inserted and the physician has asked for your
recommendation regarding the type of formula and amounts of
kcal/protein needed for this patient
Ht: 5’11” Current wt: 156 # UBW: 167 # Serum albumin: 3.0
mg/dL
1. What is an appropriate nursing diagnosis for this
patient?
2. Is the nasogastric feeding route appropriate for this
patient? Why or why not?
3. When starting parenteral nutrition on this patient, what
should be monitored?
4. When discontinuing parenteral nutrition, why is it
appropriate to continue to take glucose checks?