Nutrition: Provide Interpretation Of Each Abnormal Result (Case Study Sample)

Case study: Nutrition
1 List 3 challenges associated with completing a comprehensive nutrition assessment in the ICU.
* Changes that occurs in the body as a result of metabolic reactions in the body due to the underlying disease poses a challenge when conducting nutrition assessment of s patient in the ICU.
* Inflammatory activities also are said to bring to changes in the composition of the body of a patient known as lean mass reduction that affects patient’s nutrition assessment.
* Under nutrition also is known to affect nutrition assessment of a patient since it leads to low age weight among the patients.
2 Calculate and comment on Ben’s BMI.
BMI is an abbreviation of body mass index which is the weight of an individual in terms of kilograms over height squared.
Ben’s BMI = height 185.5 cm and a weight of 109.0 kgs.
Square the height 185.5 x0.01=1.855 x 1.855=3.441025
109 / 3.441025= 31.6766
Ben’s BMI is 31.7 which clearly indicates that he is overweight since normal BMI has to lie between 19 and 25.
3. a) Identify any abnormal biochemical results.
* Glucose level of the patient is very high and this means that the patient is suffering from diabetes
* Albumin ranges are low.
b) Provide an interpretation of each abnormal result, noting the changes that occurred (increases or decreases) from admission to Day 4.
* The glucose level on the day of admission of the patient was 15.0mmo/l which is seen to have reduced on day 4. The reason behind this is just, the nutrition of the patient has been assessed and proper nutrition has been administered to the patient by the doctor so as to ensure that reference ranges are met.
* The albumin level on the admission day was 22 g/ l and on day four the albumin increased up to 29 g/ l meaning that the patient’s body has responded well to the assessment done so as to balance the nutrition levels of the patient.
3 Estimate Ben’s energy, protein and fluid requirements. Provide a rationale for the methods you used to make your calculations.
An individual’s body needs energy to work or even during the state of resting.
Ben’s age is 54 years which lies between 51-70 years
Estimation of energy requirements is expressed in kcal/day = total energy requirement
Age in years=54
PA= 1.25
Weight in kilograms=109.0
Height in meters= 185.5 x 0.01=
2150-(9.53x54) +1.25 (15.91x109) + (539.6x 1.855)
514.62 +1.25 x 1734.19
514.62 +2167.7375
2150 +2682.3575=4832 kcal.
5. What is the nutrition diagnosis/problem?
It is a process or a step in caring of nutrition problem which involves the identification of nutrition problems in the body of a patients with an aim of curing or preventing it.
6. Devise an enteral feeding plan for Ben by completing each of the following components: Select a specific tube-feeding formula from Nestlé (product guide posted to Moodle).
Ben tube feeding formula is diabetic resource this is because Ben has been diagnosed with diabetes as a result of high glucose concentration in his body. Through this formula Ben will be able to increase concentration of proteins in his body which were very low when he was admitted as well as it will help in modification of his carbohydrate requirements.
b. Calculate the volume of that formula that is required to meet his estimated energy needs.
For a health patient, the protein levels have to lie between 10% and 35%.
Body weight / err (energy estimated requirement) = 109/ 4832 = 0.022 x1000=22.55 m/l
c. Calculate how much protein this volume of formula provides. Does this meet his protein requirement? If not, which modular product from Nestlé would you add to the formula to meet his protein requirement? How much of this product would you add?
1 kcal equivalent to 100m
.22.55m
22.55 x 1/100 =0.2255 kcal. And this clearly meets his protein requirement.
d. Calculate a continuous infusion rate for this volume of formula to be infused ov...