In addition to the above information regarding K.R., the phy…
In addition to the above information regarding K.R., the physician has ordered an exploratory laparoscopy of the upper gastrointestinal. The findings indicate K.R. has extensive gastric ulcers, and a biopsy has been done.K.R. was placed on a TPN ordered by the admitting physician to allow for gut rest. The RDN completed the NFPE and found K.R. had 2+ pitting edema and moderate muscle wasting.Based on ALL the information provided, what indications does K.R. have for a malnutrition diagnosis?
Read DetailsK.R.’s biopsy returned 3 days post-op and he does not have a…
K.R.’s biopsy returned 3 days post-op and he does not have any signs of cancer. However, he does have Barrett’s Esophagus and extensive peptic ulcer disease. The ulcers are limited to his lower stomach and upper duodenum. He has a PEJ placed to allow for the esophagus to fully heal along with his extensive ulcers. The TPN will be discontinued in 4 to 5 days and K.R. will begin enteral feeding upon discharge from the hospital. K.R. is estimated to be on enteral nutrition for 6 weeks and then will transition to an oral diet. The RDN recommends K.R.’s enteral nutrition order to be Jevity 1.5 @ 55 ml/hour x 22 hours (1.5 kcals/ml; 63.8 g Pro/L; and 760 ml Free water per Liter). Calculate the TF order and type in the steps used to calculate the order to obtain total kcals and protein. Does the order meet K.R.’s current needs? Why or Why not?
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