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WBC
Na+
K+

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Monico's values on admission 11.1H
146 H 3.4 L
L08

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Lob dato, continued: Reference ronge 4.3-10 x 10'/mm' 135-145 mEq/L 3.6-5 mEo/L

clpH
HCO3-

101-111mEq/L
7.35-7.45 22-26 mEo/L

7.33

20L

Answer the following questions obout her cose: 6. Determine appropriate macronutrient levels/or Monica (don't just cite guidelines) and develop a pN regimen that meets her estimated nutritional requirements AND also falls within ASPEN guidelines.
SHOW YOUR WORK! NOTE: Assume that you include calcium, phosphorous, magnesium, sodium, potassium in appropriate

amounts along with MVI-13 (10 ml), selenium, zinc, and copper. ln your response, include: protein lelday\ in the nutrition presclip,tion 1) Total proteinJq/day) prescr.ip,tion based ba on estimated protein requirements

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=

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2l Minimum and maximum dextrose infusion for lWonica lWoni l$pqV)(])ointsl. l$frV)(}}c 3) Minimum and maximum provision from IVFE for Mon'rc(9Doin1s). 4l How many g of each macronutrient and how much voluilie of each solution will be needed in a 24 hour period to meet the nutrition prescription for energy and protein? Note the concentrations of macronutrient solutions used by the pharmacy in compounding. SHOW YOUR WORK for each: LU -lo ^. Amino acids (10%): Volume n-(ed to provide protein (g) you calculated above and 'r how many kcals this provide{Qhoints).

perkgaoov@oint). per kg abovdJloint). SJ - bL qV,trlotl,"y 55-bL

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d.
Points).
Totalvolume and kcals provided by amino acids,

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frrr, 3lAa, pv.,t,n . .bbo,-L =)Q.'l rcJ3 Dexfroz{ , b@S l A.q= \,1 aA L&b ffrh\- 'l+l tuFL, qA3 ylofi* 19,3 q = 2 tt , t ro-)d 3!Page 'p= t?Ll 2 rnLlo*"-l ..f,- \801 Lc*-b

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