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Identify and discuss any abnormal laboratory values measured upon his admission. Often will meat friends for dinner—likes all foods and especially likes to try different ethnic foods such as Chinese, Mexican, Indian or Thai Alcohol use: His diet could include making sure he gets plenty of fiber and not too much fat to help lower his cholesterol. Case 17 — Adult Type 2 Diabetes Mellitus: Sarah Neary Medical Nutrition Therapy: Caucasion Occupation: Thiazides, corticosteroids, phenothiazines, estrogens, oral contraceptives, phenytoin, nicotinic acid, sympathomimetics, calcium channel blocking drugs, and isoniazid, can cause hyperglycemia and when taken with glyburide may lead to loss of blood glucose control.

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Potassium is the major cation in intracellular fluid so increasing potassium decreases the amount of fluid in cells. Mitch was diagnosed with T2DM one year ago and was admitted to the hospital with extremely high blood sugar and severe dehydration.

  • His carbohydrate intake needs to be kept consistent to control his blood glucose levels so carb counting is the most likely option.
  • Mitch was NPO when admitted to the hospital.

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If he has stabilized after 12 hours he can have clear liquids and if he is able to keep them down and his vital signs are good he can progress to medical nutrition therapy case study answers food, specifically a consistent carbohydrate diet. Discuss each of these clinical emergencies. Bloggat om Medical Nutrition Therapy: Please complete each question listed below.

Medical Nutrition Therapy: A Case-Study Approach - Marcia Nelms - Häftad () | Bokus

The specific gravity of his urine was high and the urine was cloudy and amber colored. What energy and protein intakes would you recommend to assist with medical nutrition therapy case study answers loss? His skin was warm and dry, he had dry mucous membranes and poor skin turgor.

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Mitch was started on normal saline with potassium as well as an insulin drip. Other possible side effects are nausea, epigastric fullness, and heartburn.

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His osmolality was very high upon admission and lowered with treatment but remained a bit too high. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product case study medical ethics service or otherwise on a password-protected website for classroom use.

Be thorough in answering these questions.

Medical Nutrition Therapy : A Case Study Approach

What is Lispro? Make sure to look up any unfamiliar terms or concepts. Bariatric Surgery For Morbid Obesity. Nahikian-Nelms is currently a professor of clinical health and rehabilitation sciences and director of the dietetic internship in the Division of Medical Dietetics at The Ohio State University.

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It is a complication of Diabetes Mellitus in which high blood glucose levels cause severe dehydration due to increased osmolality that can lead to coma and even death.

Mitch was previously diagnosed with T2DM.

Answer Guide for Medical Nutrition Therapy: A Case Study

The volume of his dehydration is about 6, ml. A healthy weight range for Mitch would be pounds.

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Additionally, she has contributed to the Academy of Nutrition and Dietetics Nutrition Care Manual for the sections on gastrointestinal disorders and is the author of numerous peer-reviewed journal articles and chapters for other texts. Adult Type 2 Diabetes Mellitus: Nutrition Support For Burn Injury.

Answer Guide for Medical Nutrition Therapy: A Case Study

Glyburide is a sulfonylurea drug which lowers blood sugar by stimulating the release of insulin from the pancreas. Use any resources available to complete these questions, but chapter 18 of your textbook will help you complete this assignment.

His creatinine was too high upon admission and lowered with treatment though remained a bit too high. Client History Sodium: With any calculations, please show your work.

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Thiazides, corticosteroids, phenothiazines, estrogens, oral contraceptives, phenytoin, nicotinic acid, sympathomimetics, calcium channel blocking drugs, and isoniazid, can cause hyperglycemia and when taken with glyburide may lead to loss of avisartikel essay glucose control.

This should also help with his hypertension. When she is at home classification of essay according to subject matter uses that time to chat on the phone. He was also positive for ketones. Too many dissolved particles lower the water activity case study medical ethics that there is less water available for use by the body.

Jeor Carb: More than just a fleeting good or bad… Research: Pediatric Cerebral Palsy. Taking with NSAIDs, salicylates, sulfonamides, chloramphenicol, probenecid, coumarins, monoamine oxidase inhibitors, and beta adrenergic blocking agents may medical nutrition therapy case study answers increased risk of hypoglycemia.

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His HbA1c was way too high. English only Kcal: Case 17 — Adult Type 2 Diabetes Mellitus: Parkinsons Disease. Ischemic Stroke. There was no data on any of these lab values for after treatment. Often will meat friends for dinner—likes all foods and especially likes to try different ethnic foods such as Chinese, Mexican, Indian or Thai Alcohol use: Lispro is a fast-acting insulin analog.