Exam 24: Energy- and Protein-Modified Diets for Metabolic and Respiratory Stress

Case Study Caroline is a 33-year-old female who was struck by a motor vehicle while she was bicycling.She suffered head and chest trauma as well as multiple broken bones.Caroline is in a medically induced coma in the ICU unit following surgery and requires mechanical ventilation due to ARDS.She is being fed enterally.Her mother reports that she is 5'7" tall and weighs approximately 140 pounds. -What kind of medications might be prescribed for Caroline? Why?

Winslett is a COPD patient who is complaining of poor appetite, abdominal discomfort, and bloating.Which of the following is the nurse's appropriate suggestion for improving his food intake?

Excessive energy intake in patients with ARDS can worsen respiratory function.

patient who is on a tube feeding gains nine pounds in three days.The nurse realizes that this may indicate:

Case Study Questions Use the following case study to answer questions Kati is a 19-year-old female who suffered a head injury and multiple broken bones in a motorcycle accident.She is currently in a coma, on a mechanical ventilator, and receiving enteral nutrition.Kati is 5'2" tall and weighs 115 pounds. -most immediate nutrition concern for Kati is:

Laura is a burn patient.She is 5'4" tall and weighs 150 pounds.What are Laura's protein needs?

Explain the metabolic effects of corticosteroid drugs.

Jones experienced a burn and is currently in a state of stress.Mr.Jones is 5'9" tall and weighs 176 pounds.The nurse recommends that he receive a minimum of _____ grams of protein per day.

Why are intestinal tube feedings preferred over gastric feedings for patients with acute respiratory failure?

has been hospitalized with a severe infection in his foot.The nurse recognizes that increasing his intake of _____ may help to suppress the inflammation.

The high nutrient requirements of acutely stressed patients often require a patient to be fed via the enteral or parenteral route to meet his or her nutritional needs.

What is a "stress factor"?

Mr.Morgan is an acutely stressed patient in the ICU who is on TPN.The nurse understands that monitoring the patient's _____ can help to determine if the patient is being overfed.

An excessive response to metabolic stress can worsen illness and lead to death.

nurse recognizes all of the following as the classic signs of inflammation except:

Increased energy metabolism in hypermetabolic patients is associated with the need for increased amounts of:

of the factors that increases the risk of MODS is:

COPD patient who complains of abdominal discomfort and dyspnea may benefit from:

is a 23-year-old firefighter who experienced severe burns while fighting a house fire.The nurse recognizes the fact that he may benefit from supplements of minerals such as _____ to reduce the risk of infection.

Complications associated with SIRS or sepsis include all of the following except: