- Clinical Case Study Hc Is A 67 Year Old Japanese American Male Serum Creatinine 3 3 Mg Dl Bun 72 Mg Dl Albumin 29 Mg 1 (35.1 KiB) Viewed 37 times
9. Identify the injury factor and PA factor used to
determine calories and protein needs
NOTE:
use https://www.kidney.org/professionals/kd ... calculator to
calculate egfr. Do not enter anything for Serum
Cystatin C, use standard assay and do not remove body surface
adjustment
CLINICAL CASE STUDY HC is a 67-year-old Japanese American male. Serum creatinine 3.3 mg/dL. BUN 72 mg/dl, albumin 29 mg/dL, potassium 3.3 mEq/L. phosphorus 6.7 mg/dl, calcium 8.5 mg/dL. Hx Type 2 diabetes mellitus (DM), heart attack, A-Fib Pt seen te: 5 kg wt loss/Imo Pt reports a poor appetite x 3mo. : c/o I just don't enjoy eating like I used to...food tastes funny." c/o being too weak to do anything but read or watch TV. Diet hx reveals pt eats 0% to 10% of meals. Declines enteral supplements. DW: 48.0 kg. % IBW: 91, BMI: 17.6, moderate fat and muscle wasting. Pt is reported to have a stage III pressure injury on his coccyx Nutrition Care Questions 1. What is HC's calculated eGFR? 2. What is his stage of chronic kidney disease (CKD)? 3. What is the first goal for education? 4. What dietary factors would you address based on these laboratory values? 5. What is the goal for protein intake? 6. How would you assess for improvement or stability of his CKD? 7. What would you expect for him during the next few years if no diet interven- tion is followed?