CASE 5 - Nutrition Assessment 85 y/o WM, 196lbs (89kg),...

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Nutrition Assessment 85 y/o WM, 196lbs (89kg), 5’5” (165.1cm), BMI 32.6 (Obesity Grade I), UBW 195- 295lbs, %UBW 87-100% (Mild Malnutrition), IBW 136lbs, %IBW 144% (Obese) TEE= 1501.8 (REE MSJ) x 1.2 (AF) – 500 (weight loss) = 1302 kcal/day or 1300-1400 kcal/day Protein: 61- 71g/kg (1.0g/kg, IBW) Fluid: 2.8-2.9L/d (HSM) Labs: 5/15 (admit) Low: Total Protein, transferrin, K, Ca, uric acid, HDL-C, Hgb, High: Osmolality Glucose, BUN, Creatinine, LDH, Triglycerides, HgbA1C, pCO2, pH, CO2 content, HCO3 5/16 High: K, Osmolality, Glucose, BUN, Creatinine Dx: PMH: CAD, type 2 DM, renal insufficiency, peripheral neuropathy, osteoarthritis, hx of prostate CA, diverticulitis/diverticulosis. Pt daughter states her father becomes confused frequently. Pt and daughter are both confused about medications. Obese gentlemen who is obviously confused and appears slightly restless. Inconsistent orientation to time, place, and person. Pt presents with xerostomia. Significant neuropathy present. Numerous pin point hemorrhages, fragile. Feet are cool to touch
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This note was uploaded on 10/17/2010 for the course HUEC 4013 taught by Professor Chanmugum during the Spring '10 term at LSU.

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CASE 5 - Nutrition Assessment 85 y/o WM, 196lbs (89kg),...

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