Enteral Case Study

She was in the ICU for 5 days following surgery related to difficulty coming off intubation. During her time in the ICU she was receiving IV fluids, but no enteral or parenteral nutrition. She is now awake and breathing on her own, but having difficulty swallowing due to her prolonged intubation. She is currently NPO (nothing per oral). Her physician recently placed a nasogastric tube and is ready to start enteral feedings. You obtain the following information from her chart:
Medical history: Diagnosis of Crohn’s disease 5 years prior to surgery. History of weight loss and restrictive eating patterns related to GI distress. Other diagnoses include acid reflux, history of stomach ulcers, and depression.
Anthropometrics: Current Weight 132 lbs. Usual Weight (1 year ago): 150 lbs. Height 67”
Biochemical: BUN 23 mg/dl Cr 1.2 mg/dL Albumin 3.0 g/dL Glucose 98 mg/dL Potassium 4.2 mEq/L Sodium 136 mEq/L
Nutrition focused physical assessment: Mild muscle wasting to temporalis, interosseous of hands, and subclavius. Brittle nails and hair.
During your interview Kelly states that she is having some abdominal pain from her recent surgery and overall fatigue. She reports poor appetite and mild nausea. She is currently receiving pain medication and anti-nausea medication. She tells you she was having poor appetite and constant diarrhea for 2-3 months prior to her surgery. He physician told her that her symptoms will be much improved with her recent bowel resection, but she is nervous about starting to eat again. She reports the nasogastric tube isn’t causing any pain, but it is uncomfortable. Answer the following questions related to this case: 1.Calculate the following needs based on Kelly’s current state: a.Estimated energy requirements (state formula and show work) b.Estimated protein requirements (state formula and provide range) c.Estimated fluid needs 2.Based on the information provided, select an appropriate tube feeding formula from the formulary sheet. 3.Calculate the total goal volume of tube feeding that will be administering over 24 hours 4.Based on the information provided, which administration method is best for this patient? (continuous feedings, intermittent feedings, or bolus feedings) 5.Based on your answer to question 4, what volume of feeding will you administer per hour or per bolus to meet your stated goal volume. 6.Will the volume/rate of formula meet the patient’s protein needs? 7.Will the volume/rate of formula meet the patient’s fluid needs? 8.How would you ensure the fluid needs are met? 9.Write an enteral nutrition order that would go in the intervention section of the nutrition care process

Calculate your paper price
Pages (550 words)
Approximate price: -

Why Choose Us

Quality Papers

We value our clients. For this reason, we ensure that each paper is written carefully as per the instructions provided by the client. Our editing team also checks all the papers to ensure that they have been completed as per the expectations.

Professional Academic Writers

Over the years, our Acme Homework has managed to secure the most qualified, reliable and experienced team of writers. The company has also ensured continued training and development of the team members to ensure that it keep up with the rising Academic Trends.

Affordable Prices

Our prices are fairly priced in such a way that ensures affordability. Additionally, you can get a free price quotation by clicking on the "Place Order" button.

On-Time delivery

We pay strict attention on deadlines. For this reason, we ensure that all papers are submitted earlier, even before the deadline indicated by the customer. For this reason, the client can go through the work and review everything.

100% Originality

At Graduate Assistants, all papers are plagiarism-free as they are written from scratch. We have taken strict measures to ensure that there is no similarity on all papers and that citations are included as per the standards set.

Customer Support 24/7

Our support team is readily available to provide any guidance/help on our platform at any time of the day/night. Feel free to contact us via the Chat window or support email: support@acmehomework.com.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

Graduate Assistants has stood as the world’s leading custom essay writing services providers. Once you enter all the details in the order form under the place order button, the rest is up to us.


Essay Writing Services

At Graduate Assistants, we prioritize on all aspects that bring about a good grade such as impeccable grammar, proper structure, zero-plagiarism and conformance to guidelines. Our experienced team of writers will help you completed your essays and other assignments.


Admission and Business Papers

Be assured that you’ll definitely get accepted to the Master’s level program at any university once you enter all the details in the order form. We won’t leave you here; we will also help you secure a good position in your aspired workplace by creating an outstanding resume or portfolio once you place an order.


Editing and Proofreading

Our skilled editing and writing team will help you restructure you paper, paraphrase, correct grammar and replace plagiarized sections on your paper just on time. The service is geared toward eliminating any mistakes and rather enhancing better quality.


Technical papers

We have writers in almost all fields including the most technical fields. You don’t have to worry about the complexity of your paper. Simply enter as much details as possible in the place order section.