Calculate K.R.’s kcals, protein, and fluid needs per day. Show your work for each calculation and answer by typing out the equation. Calculate the energy needs using the MSJE X 1.1 ActivityFactor X 1.2 Injury Factor BMR (men) = 10 X weight (in kg) + 6.25 X height (in cm) – 5 x age (in years) + 5 Calculate the energy needs using a comparable weight-based equation (25 kcals/ kg; 30 kcals/kg; 35 kcals/kg, etc.)Determine a calorie range. Calculate the protein needs based on all information provided in the case study. Remember, the RDA is 0.8g/kg of body weight.Calculate the fluid needs based on all information provided in the case study. Remember, the RDA is 1 ml per 1 kcal ingested. The RDN determined the TPN didn’t appropriately meet K.R.’s needs and RDN changed the order to better meet his needs. The RDN order: 500ml D40 + 500ml 10% plus 250 2.0% Intralipids.Calculate the TPN order. Be sure to show your work by typing out each equation with your answers. Also, include the total kcals, protein grams, and glucose utilization rate for the order. 

For this question, you will write a case. You can pick any problem we have every covered the entire semester. The initial problem must overlap into at least two other organ systems. (think xyz 2/2 abc, 2/2 rst)   Tell me about your patient: How did they present? What is their medical/surgical history? (1 point)   What are their presenting VS (consistent with their problem) What is their physical exam? Only report pertinent negatives. (consistent with their problem)  (1 point)   What labs and tests are you asking for to rule in/rule out? (1 point)   What are the results of the labs and tests you asked for? You needs to write out the labs and the actual numbers/results/findings. (consistent with their problem) (2 points)   What treatment do you anticipate? (2 points)   What could go wrong? What other organ systems will this problem effect? How? (2 points)   If this patient were to decompensate, how would it likely happen? (1 point)   White blood cell (WBC) count: 4,000–10,000 cells/mcL  Hemoglobin: 11 – 16 gm/dL  Hematocrit: 35 – 50%  Platelet count: 150,000–450,000 platelets/mc Serum sodium: 136–144 mEq/L  Serum potassium: 3.7–5.2 mEq/L  Serum chloride: 96–106 mmol/L  Carbon dioxide (CO2): 23–29 mmol/L  Serum calcium: 8.5–10.2 mg/dL BUN: 6–20 mg/dL  Creatinine: 0.6–1.3 mg/dL  Glucose: 70–100 mg/dL  pH: 7.35–7.45 PaO2: 75–100 mmHg PaCO2: 35–45 mmHg HCO3: 22–26 mEq/L *If there is a lab that helps your case that is not listed here, you are fine to note “high/low”

Pick any problem that you have learned the entire semester.  Create an SBAR. This can be as simple or as complicated as you need it to be. Situation: Background: Assessment: Recommendation:

To cultivate Legionella in the laboratory, a medium supplemented with what ingredient(s) is necessary?

Which water temperatures are most suitable for the growth of legionella bacteria?

MALDI-TOF MS may be used to identify all of the following genera except:

The majority of human infections with Campylobacter species are caused by:

Why is it that MALDI-TOF MS cannot be used successfully used to identify all clinically relevant species of Haemophilus spp.?

The commensal Neisseria spp. are often confused with pathogenic gram-negative diplococci. A simple test utilizing a blood agar plate and an antibiotic disk resulting in elongation of the cells assists in the differentiation of these organisms. Which antibiotic disk is utilized in this application?

Virulence determinants of H. pylori include: