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IBS - Irritable Bowel Syndrome Case Study#16 Mrs Suzanne...

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Irritable Bowel Syndrome Case Study #16
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Mrs. Suzanne Freeman Admitted to hospital because of chronic abdominal pain Extensive evaluation at an outside hospital reveals a normal colonoscopy and endoscopy She is diagnosed with irritable bowel syndrome (IBS)
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What is IBS? Common syndrome involving mostly the large intestine, but other parts of the digestive tract can be affected. Involves altered intestinal motility and increased sensitivity to internal and external stimuli.
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Symptoms and Signs of IBS Diarhhea Contipation Abdominal pain Discomfort after meals Discomfort with stress Bloating Gas Abnormal bowel movements Sensation of incomplete evacuation Rectal pain Mucus in stool
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Anthropometrics: IBW, %IBW Height: 5’4’’ or 64 inches (162.6 cm) Weight: 109 lbs or 49.5 kg IBW: 120 lb. % IBW: 90.8%
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Energy Needs: Mifflin St-Jeor REE= (10 x W) + (6.25 x H) – (5 x A) – 161 = (10 x 49.5kg) + (6.25 x 162.6cm) – (5 x 38) – 161 = 495 + 1016.25 -190 -161 = 1160.25 Activity Factor = 1.3 (normal activity) REE x AF = kcal requirement 1160.25 x 1.3 = 1508.325 Kcal Requirement = 1500 kcal
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Energy Needs: Harris Benedict REE= 655 + (9.6 x W) + (1.7 x H) – (4.7 x A) = 655 + (9.6 x 49.5kg) + (1.7 x 162.6cm) – (4.7 x 38) = 655 + 475.2 + 276.42 – 178.6 = 1228.02 Activity Factor = 1.3 (normal activity) REE x AF = kcal requirement 1228.02 x 1.3 = 1596.426 Kcal Requirement = 1600 kcal
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Protein Needs Protein Needs = 1g of protein for every kg of body weight = 1g protein x 49.5 kg BW = 49.5 g protein
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Fluid Needs 1. 30-35 mL of water for every kg of BW = 35 mL water x 49.5 kg BW = 1732.5 mL (1.7 liters) 2. 1 mL of water per kcal of pts energy needs = 1 mL water x 1500 kcal = 1500 mL (1.5 liters)
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SKIT TIME!!
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Question #2 Diarrhea Constipation (days) Chronic Abdominal Pain Weight Loss Low Potassium
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