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
1501.8 (REE MSJ) x 1.2 (AF) – 500 (weight loss) = 1302 kcal/day or 1300-1400
Protein: 61- 71g/kg (1.0g/kg, IBW)
Fluid: 2.8-2.9L/d (HSM)
Low: Total Protein, transferrin, K, Ca, uric acid, HDL-C, Hgb,
Osmolality Glucose, BUN, Creatinine, LDH, Triglycerides, HgbA1C, pCO2, pH,
CO2 content, HCO3
High: K, Osmolality, Glucose, BUN, Creatinine
PMH: CAD, type 2 DM, renal insufficiency, peripheral neuropathy, osteoarthritis, hx of
prostate CA, diverticulitis/diverticulosis.
Pt daughter states her father becomes confused
Pt and daughter are both confused about medications.
Obese gentlemen who is obviously confused and appears slightly restless.
orientation to time, place, and person.
Pt presents with xerostomia.
Numerous pin point hemorrhages, fragile.
Feet are cool to touch