A wood member is loaded as shown. Using ASD, determine the a…
Questions
A wооd member is lоаded аs shown. Using ASD, determine the аdjusted tension strength, Ft'. Assume normal temperatures, no incising, and that all loads act in the directions shown. Ignore the weight of the member.Load:PD = 1,000 lbPL = 0 lbPLr = 0 lbPS = 0 lbPR = 0 lbPW = 8,000 lbPE = 8,000 lbQD = 2,500 lbQL = 2,500 lbQLr = 0 lbQS = 500 lbQR = 2,000 lbQW = 0 lbQE = 0 lbSpan:L = 12 ft Member size:4 x 8 Stress grade and species:Select Structural Douglas Fir-Larch Unbraced length:lu = L/2 = 6 ft Moisture content:MC < 19 percent
Tоdd is а 39-yeаr-оld mаle оn the neurology floor at a local medical center. He was admitted after going to the ER because of confusion, disorientation, and difficulty talking. He was diagnosed as having had a severe stroke. He is paralyzed on the right side. He is currently NPO with an IV running at 115 mL/hour. The speech pathologist recommends that he remain NPO because he is at a high risk for aspiration. Today is hospital day 5. An enteral nutrition consult is ordered because he will be going to a rehab center in 3 days. Ht: 5’ 8” Current Wt: 180 lbs. (200 lbs. 5 months ago – intentional weight loss) Vital signs: Blood pressure: 125/82 Temperature: 98.6° Past Medical History: hypertension, hernia surgery Labs: Na+: 138 (135-145) K+: 3.9 (3.5-5.5) Cl: 98 (95-105) Glucose: 120 (70-99) BUN: 12 (8-18) Creatinine: 0.8 (0.6-1.2) WBC: 11 (3.5-10) GFR: 120 (>90) Hemoglobin: 14 (13.5-17.5) Nutrition history: B: coffee (~10 oz) with ~2 tbsp. whole milk L: large salad (1 c of mixed lettuce, cucumbers, tomatoes, artichokes & carrots) with ~3 ounces of chicken, salmon or shrimp. No dressing. Salad has lots of colorful veggies. Large unsweetened iced tea to drink (32 oz). Snack: Large apple or pear; large unsweetened iced tea (32 oz). D: ~6 oz. of grilled chicken, fish or lean meat; large salad w/lots of veggies (tomatoes, cucumber, carrots, broccoli, asparagus; 1 tbsp fat free dressing and large unsweetened iced tea to drink (12 oz). Evening snack: 3 or 4 days per week will have 3 cups of fat-free popcorn and large unsweetened ice tea (20 oz). Write an order to start and advance Todd's EN feeding based on the nutrition goals you have calculated for him. Choose from the following formulas: Glucerna 1.2 - 1.2 kcal per mL or 1200 kcal per 1.0 L/ 60 g protein per 1.0 L/ 80.5% free water or 805 ml per 1.0 L Osmolite 1.5 -1.5 kcal per mL or 1500 kcal per 1.0 L/ 62.7 g protein per 1.0 L/ 76.2% free water or 762 mL per 1.0 L Nepro - 1.8 kcal per mL or 1800 kcal per 1.0 L/ 81 g protein per 1.0 L/ 72.7% water or 727 mL per 1.0 L
Enterаl Nutritiоn Cаse Study (50 pоints tоtаl): Todd is a 39-year-old male on the neurology floor at a local medical center. He was admitted after going to the ER because of confusion, disorientation, and difficulty talking. He was diagnosed as having had a severe stroke. He is paralyzed on the right side. He is currently NPO with an IV running at 115 mL/hour. The speech pathologist recommends that he remain NPO because he is at a high risk for aspiration. Today is hospital day 5. An enteral nutrition consult is ordered because he will be going to a rehab center in 3 days. Ht: 5’ 8” Current Wt: 180 lbs. (200 lbs. 5 months ago – intentional weight loss) Vital signs: Blood pressure: 125/82 Temperature: 98.6° Past Medical History: hypertension, hernia surgery Labs: Na+: 138 (135-145) K+: 3.9 (3.5-5.5) Cl: 98 (95-105) Glucose: 120 (70-99) BUN: 12 (8-18) Creatinine: 0.8 (0.6-1.2) WBC: 11 (3.5-10) GFR: 120 (>90) Hemoglobin: 14 (13.5-17.5) Nutrition history: B: coffee (~10 oz) with ~2 tbsp. whole milk L: large salad (1 c of mixed lettuce, cucumbers, tomatoes, artichokes & carrots) with ~3 ounces of chicken, salmon or shrimp. No dressing. Salad has lots of colorful veggies. Large unsweetened iced tea to drink (32 oz). Snack: Large apple or pear; large unsweetened iced tea (32 oz). D: ~6 oz. of grilled chicken, fish or lean meat; large salad w/lots of veggies (tomatoes, cucumber, carrots, broccoli, asparagus; 1 tbsp fat free dressing and large unsweetened iced tea to drink (12 oz). Evening snack: 3 or 4 days per week will have 3 cups of fat-free popcorn and large unsweetened ice tea (20 oz). 2. Complete a nutrition assessment (10 points)