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Enteral Nutrition Case Study (20 points total): The remainin…

Enteral Nutrition Case Study (20 points total): The remaining questions are related to the following case study.  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 and suggest alternate route of nutrition. Today is hospital day 5. A nutrition support 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 ~4 ounces of chicken, salmon or shrimp. 1 Tbsp 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 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).    Q1. Would you start enteral nutrition support at this time – state why or why not? (5 points) Q2. Complete a nutrition assessment paragraph (5 points)  Q3. Complete 2 PES statements (5 points):  Refer to terminology sheet and use correct language P:   E: S: P: E: S:  4. Complete a nutrition prescription (5 points). Record your answer so you have it accessible for questions to follow.       Energy requirements:      Protein requirements:      Fluid requirements:      Any micronutrient concerns:  

Jennifer is a 21 year old female who sustained a gunshot wou…

Jennifer is a 21 year old female who sustained a gunshot wound to the upper left lung. She under went surgery immediately and is in the ICU on the ventilator and is stable. Diet order: NPO. A nutrition support consult has been ordered. You review her medical record and note she has decreased bowel sounds, soft abdomen and mean arterial pressure of 70 mm Hg. Today is admit day #2. Which of the following would you recommend?

Based on your evaluation of these two systems using the scor…

Based on your evaluation of these two systems using the scorecard, which system appears to be more “agroecological”, when excluding effects on the climate system? Does your evaluation change when factoring in climate impacts? Also, discuss if there is anything missing with the scorecard approach used in this class, and how a different approach may yield a different outcome that you think would more accurately reflect whether an agroecosystem is “agroecological” or not. Note: you can go up to 275 words for this question.