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Sam is concerned about his risk for a stroke since his Dad died of a stroke at age 57. Based on the following information, what would you recommend to Sam to reduce his risk for a stroke? Ht:  6’    Wt: 175 lb (stable)     B.P.: 145/80    Lipids: T Chol: 160    LDL: 100   TG: 130     HDL: 50       Glucose:  97

Patients with neuro disorders typically require PEG feedings using bolus administration to meet their nutritional needs. List three common challenges that can arise with these types of feedings (5 points):

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) Complete a nutrition prescription for kcals, protein, fluids and include any micronutrients to focus on (10 points):

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):

Which of the following would be a healthy long-term goal for body weight for an individual with quadriplegia?

Nick is admitted to the hospital for encephalopathy and dehydration. He has been drinking a bottle of scotch every 2 days for the last couple of months. Which of the following is he at the highest risk for developing?

Which process allows for genetic variation in bacteria through uptake of naked DNA from the environment?

What is the significance of using phylogenetics in the study of disease evolution?

How do enveloped viruses typically acquire their envelopes?

What does the term ‘deep time’ refer to in geological terms?