ARIEL CORTEZ BSN2-A, NDT- LABORATORY ACTIVITY

I. Suppose a patient is receiving 1.25 liters (1250 milliliters) of a

parenteral solution that contains 5 percent amino acids and 30
percent dextrose, supplemented with 250 milliliters of a 20 percent
lipid emulsion daily. How many grams of protein and carbohydrate
is the person receiving, and what is the total energy intake for the
day?

1250 ml of parenteral solution

5% amino = 62.5 ml (protein)

30% dextrose = 375 ml (carbs)

250 ml of 20% lipid emulsion

20% lipid emulsion = 50 ml (fats)

62.5 ml x 4 = 250
375 ml x 4 = 1500
50 ml x 9 = 450
= 2200 calories
The person is receiving 62.5 ml of proteins and 375
ml of carbohydrates. The total energy intake for the
day of the person is 2200 calories.

II. Using the following assessment data, develop a nutrition care plan.
(Use NANDA or other NCP reference books)

Subjective:
Patient reports excessive snacking at work, little exercise, recent weight gain of
10 lb in past year; willing to attempt 5% weight loss and dietary/lifestyle
changes to reduce LDL-C before trying statin medication
Objective:
Height: 6’1”
Weight: 268 lb
BMI: 35.4, obesity II
Total cholesterol: 288 mg/dL
Waist circumference: 45”
LDL-C: 214 mg/dL;
HDL-C: 48 mg/dL
EER: 2725 kcal
Triglycerides: 132 mg/dL
Diet order: Weight reduction; heart-healthy diet

Assessment:
Abdominal obesity; dietary recall indicates ~3700 kcal intake per day and diet
high in fat, saturated fat, trans fat

Nutrition Diagnosis/Plan:
 reduced physical mobility as a result of decreased exercise, as
evidenced by a high BMI.
 High LDL-C levels indicate a risk of cardiovascular disease, such
as stroke.
 Body image issues

Nutrition Intervention:
 Examine the individual causes of obesity.
 Analyze daily food journal

Nutrition Evaluation:
 After 8 hours of nurse-patient interventions, the patient was able
to:
1. Identify the main cause of his obesity.
2. Create a journal for food and drink he intake daily
3. Formulate an eating plan based on the anthropometric data
of the patient and
4. Knows the best diet and strategies to be used.