7.

The parenteral nutrition (PN) prescription you have detailed above is appropriate for infusion via which of the following routes (ClRCIE ALt THAT Appty)?

G>

etcc
PEG

,/ ffeeripneralintravenous access (PPN)-+r,. r *t-['"] ,. ,1 @"ntralvenous catheter

THAT APPLY)?

b.

8. Which of the following micronutrient(s) is/are NOT included in this parenteral regimen (CtRCLE ALL

@ uf
./

a. b.

Selenium Zinc

tron

-e ^o*gh

iran sLrcS

vitamin

"''

e. Pantothenic f. Folate ,'l,t Rcnromium (

acid

\/

h'.)vanadium

9. Parenteral iron requirements for this patient, were she to be on long-term parenteral nutrition
exclusively, are:

c. 8 mglday d. 18 mg/day

I IZ',|X!^ u""b-t- 5o,'**r^*hr"o'

*'*"'5

@t5' b; {

5 &4'

of)${ing?

10. lf Monica requires surgery, which of the following dietary supplements, if any, could increase her risk (clRctE ALt rHAr APPLY) (_gy'Gingko biloba

b. CoQ10 @carlic d. Glucosamine

Case Studv #3

\"

. ospira .g}g1,o..C,ecomffi,youconductonutritionalassessmentondestimatehisnutritionolneedsot
opproximotely2,Zgg.kcals andgLQg-g protein/day. As he is unoble to consume food orolly, you recommend a nasogastric feeding tube. His fluids ore NOT restricted.
ln selecting the formulo
e Ie m e

James F. is o g5 yo mole admitted following a stroke. He hos a swallowing evaluation and is determined to be ot h,gh ritk fo, so his diet order is NPO with a RD consult for enterol nutrition

from the hospital's enterolformulary, you are choosing between the foltowing
RTF,

four formulos, all of which hove intact macronutrients except Vivonex

nto

which is

l/ h y d ro I y ze d.
Classification Standard Standard concentrated High protein Energy (kcals/ml)
L.2
2.O

-T-woeafHl\f--)

Formula Jevitv L.2 CAL

Protein (s/Ll *(:c: rvc:rtit 55,5 - lOlS

)nemote--/
,r/ivonex
RTF

c.o*"!

83.5:QiR

1.0 1.0

Elemental/hvdrolvzed
n
.r,
-,

lr,,,r..*.r* ."h eZ.S 50

p':. ^ ^'-) {? t(:)urr# 5f Page -4dV-*--,

'>-

s,"*l

1U*".t*

sol v1r,

:{

\\0o

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