On hospital day 9, nutrition support day 7, during your reassessment of Mr. Sanders you notice that his MAP has been over 60 for the past 8 hours. The epinephrine and norepinephrine doses have been stable as is his clinical status; his PN continues at the rate you ordered. Based on the information below, what would you recommend now – be specific and state why you are making these recommendations? Include route of nutrition, how to administer, formula choice and if there is a need to transition support, provide specifics. Laboratory data: Na++: 134 (135-145) K: 4.9 (3.5-5) Cl: 94 (96-106) WBC: 10 (5-11) HCO3: 21 (20-29) BUN: 44 (7-21) Cr: 2.3 (0.6-1.2) Gluc: 160 (70-99) Alb: 2.3 (3.5-5.5) Phosphorus: 4.6 (2.5-4.5) Magnesium: 2.5 (1.5-2.5) I/O: 3400 mL/2570 mL Temp: 99.6° Current Wt: 238 lb. Wt 2 days ago: 225 lbs. Sliding scale insulin coverage in the past 24 hours: 150 (3 u) 165 (3 u) 180 (4 u) 187 (4 u) Medications: antibiotics, Plavix, anti-hypertensive meds, & propofol @ 10 mL/hr Nutrition-focused physical exam: large male sedated and ventilated; abdomen slightly firm with negative bowel sounds
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Given the following function and Step 1: determine the dif…
Given the following function and Step 1: determine the difference (be sure to simplify) Step 2: Give the domain of You should be showing your work on your scratch paper with your answers circled. Then, type your answers below using the “Insert Equation” tool- the infinity symbol () is in the “Misc” tab of the equation tool.
Conjuguez le verbe suivant au présent de l’indicatif. Ils (p…
Conjuguez le verbe suivant au présent de l’indicatif. Ils (pouvoir) _________________ gagner le match.
A car travels at 58.8 km/hr in a straight line. What is this…
A car travels at 58.8 km/hr in a straight line. What is this speed when converted to meters per second?
If an object starts from rest, moves in a straight line and…
If an object starts from rest, moves in a straight line and accelerates at 3.50 m/s2 (ignore air resistance and friction), how much time (units: seconds) will it take to reach a velocity of 14.5 m/s? NOTE: Use correct rounding and significant figures in the answer Enter numerical answer in proper standard notation, not scientific notation Do not enter units with the answer
Conjuguez le verbe suivant au présent de l’indicatif. Il (vo…
Conjuguez le verbe suivant au présent de l’indicatif. Il (vouloir) _________________ une nouvelle voiture.
An object has a mass of 175 g. Determine the weight of the o…
An object has a mass of 175 g. Determine the weight of the object (units: N). NOTE: Use correct rounding and significant figures in the answer Enter numerical answer in proper standard notation, not scientific notation Do not enter units with the answer
Conjuguez le verbe suivant au présent de l’indicatif. Je (vo…
Conjuguez le verbe suivant au présent de l’indicatif. Je (vouloir) ___________________ me marier.
Conjuguez le verbe suivant au présent de l’indicatif. Nous (…
Conjuguez le verbe suivant au présent de l’indicatif. Nous (devoir) _________________ y aller.
Vectors A, B, and C, have the following vector components;…
Vectors A, B, and C, have the following vector components; Ax = 1.0 and Ay = 2.0 Bx = 3.3 and By = -4.0 Cx = -5.0 and Cy = 6.1 Find the magnitude of vector B NOTE: Use correct rounding and significant figures in the answer Enter numerical answer in proper standard notation, not scientific notation Do not enter units with the answer