Elevate the foot of the bed by placing blocks under the mattress. Try eating bedtime snacks and lying down after meals. would benefit from education about which topic? a checklist of lifestyle changes that can help minimize GERD symptoms. Will prevent him from developing further vision loss. Has little influence on disease progression.Ĭan help to control electrolytes and avoid a life-threatening imbalance. Will not prevent the development of complications.Ĭontributes to elevated serum levels of nitrogenous wastes. Bradley that the diet for end-stage renal disease: a phlebotomy nurse who draws blood for and interprets laboratory values a physician who oversees all aspects of clients' medical care a pharmacist who will address the nutrients administered via the dialysate another client who has been following the diet for years a dietitian who specializes in chronic kidney disease The nurse explains that within the next week he will be seen by _, who will counsel him about his nutrition therapy. Bradley's first visit to the center, his primary care nurse spends hours speaking to him while his dialysis progresses.
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"Water losses from the skin and lungs are deducted from your fluid allowance." "Gelatin, soups, fruit ices, and frozen fruit juice bars contribute to your fluid intake." "Most of your fluid intake should come when you take your medications." "Solid foods do not contribute to your fluid intake." "Your average fluid gain between dialysis treatments should ideally be 10 pounds." What principle regarding fluid is correctly conveyed to Mr. Inhibiting the lower esophageal sphincter. takes is a proton-pump inhibitor medication that works by: Snack, at bedtime: Ginger ale and ginger snap cookies Lunch: Lean turkey lunch meat on whole-grain bread with lettuce, tomato, and mustard 100% grape juice diluted with water snack pack of carrots, no dressingĭinner: Tempura (deep-fried, breaded) salmon buttered rice salad with lettuce and tomato vinegar and oil dressing water Snack: Fresh pear instant oatmeal made with water, eaten with brown sugar and two non-dairy creamers skim milk knows what foods or factors cause symptoms, and is able to generally avoid them hence, he has not had reflux esophagitis in over a year. His dose of Prilosec was recently increased, and although he now suffers less often from heartburn symptoms, he is also leery of medical side effects and would like any and all suggestions to manage his GERD "naturally." Having had GERD for the past eight years and been on some form of antacid or antisecretory medication continuously during that time, M.L. is a 34-year-old male computer programmer with a BMI of 26 who is seeking dietary counseling. Which parenteral infusion complication is Mr. Edward NPO and place a peripheral line for hydration and nutrition support. Edward is not being actively treated for cancer at his request. Social Hx: Lives alone cooks and shops for himself despite illness.ĭietary Hx: Previously followed a low-cholesterol, low-sodium, high-potassium diet. Hx: Lifelong chain smoker (2 packs per day) alcohol abuse since his late 20s. Meds: antilipemic medication, antihypertensive medication. Medical Hx: Hypertension S/P stroke age 56 cataract surgery. Low BMI, loss of muscle, loss of subcutaneous fat, bitemporal wasting.Īcute pancreatitis with intractable vomiting. The patient presents with:Įnd-stage adenocarcinoma of the gastroesophageal juncture.Ĭhronic malnutrition and significant weight loss × 1 year. His history was obtained by contacting his daughter. Stanley Edward, a 58-year-old African American male, was admitted to the emergency room of the medical center and resuscitated after being found unconscious in his car in a parking lot.
"Becoming a vegetarian would best meet my protein needs." Bradley's comprehension of the need for a lower-phosphorus diet is reflected by which statement?
Bradley generally meets his recommended intakes of all food groups, but his fiber intake is low, and his dairy foods consumption exceeds the recommendation by double due to his love of milk, ice cream, cheese, and other dairy products. A food frequency questionnaire shows that Mr. He is a non-ambulatory war veteran, former smoker, and former alcohol abuser whose BMI is normal, though he has lost 3% of his body weight since being diagnosed with kidney failure one month ago. Bradley, who has diabetic retinopathy and loss of vision. As a dialysis nurse, your role is to review the nutrition guidelines with Mr. Bradley lives in an assisted living facility where he receives full-time nursing care. Bradley is a 70-year-old man with a long medical history including uncontrolled diabetes mellitus since age 45 who presents to the West Smithtown Dialysis Center with new-onset end-stage kidney disease.
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