Patient ll Pt: 85 yo female 5’3" and 120# Adm Dx: s/p CVA and the MD has ordered a new TF.
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Enteral Practice Patient ll Pt: 85 yo female 5’3" and 120# Adm Dx: s/p CVA and the MD has ordered a new TF. PM H: 15 years s/p NSTEMI Diet order: NPO, awaiting swallow study and recommendations from ST Weight history: Husband reports that weight has been stable the last year. She has had a good appetite recently and is eating a normal amount. 1) Calculate her TF to meet her estimated nutrition needs. Determine the following based on the standard fiber- containing formula Ejbgrsgurge HN (1200 kcaI/L; 54 g pro/L; 810 mL free H20/L): a) Total volume (nearest whole number) b) Protein (nearest whole number) c) Write a justification for the type of delivery (continuous, intermittent, or bolus) and access (NG, NJ, PEG, PEJ) you will recommend. d) At 25-50% of goal rate and a value between the recommended 10-40 mL, what initial rate will you recommend? e) At what rate will you recommend advancement to goal? Will your recommendation meet 80% of goal rate within 48 hrs? f) How many additional flushes and in what amounts will you recommend to meet estimated fluid needs?
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