Blog

You have received a nutrition consult for Quinn, a 28 y.o. m…

You have received a nutrition consult for Quinn, a 28 y.o. male, in the ICU sedated and intubated due to a complete spinal cord injury at L1 after an ATV accident yesterday; he is now a paraplegic due to his accident. Today is hospital day #1. Bowel sounds are negative but abdomen is soft and non-distended. A nutrition consult is requested. MIV w/20 mEq KCl running at 120 mL/hr through a central line. Ht: 6’2”            Current Wt. 202 lbs.          Wt. Prior to Admission: 202 lbs. Vitals: Temp: 99.9°           I/O: 3300/2920            MAP: 62                 PMH: broke ankle @ age 18; up to date on all immunizations Medications: sedation, pain meds, and antibiotics. Labs: Na: 137 (135-145)             K: 3.8 (3.6-5.5)             Cl: 102 (101-111)                HCO3: 26 (21-31)        BUN: 11 (5-20)                  Cr:  0.8 (0.6-1.2)          Glucose:  82 (70-99)            Alb: 2.9 (3.5-5)     GFR: 79 (>60)                   Phos: 2.9 (3-4.5)         Ca++: 7.3 (8.5-10.5)              Mg: 1.8 (1.5-2.5) H/H: 13.8/37 (14-17/40-54)           MCV: 85 (80-100) Based on his current clinical status, what MNT recommendations would you provide regarding intervention(s) (be specific in terms of goals to achieve), monitoring and evaluation while he is in the hospital? (20 points):