Alexandra Gonzalez is a 28-YO ski instructor. She suffered multiple fractures, which included a broken pelvis leaving her immobile. Activity Level = 1.0. She measured 5’4 and weighted 141# when she was admitted 1-week ago, but has lost 15# since her arrival. She is diabetic and requires the use of antidiabetic drugs (Metformin) and injectable insulin. She has stated she has had low appetite since the accident and follows a strict CHO counting diet. MD has issued orders for a nasoduodenal tube feeding and will receive all oral medication via tube. Describe the precautions that should be taken since Ms. Gonzalez receives medications through the feeding tube. After 24-hours of feeding, Ms. Gonzalez develops diarrhea. Identify the possible cause for this and describe what measures can be taken to correct the diarrhea. Using total calories determined in question #2, plan Ms. Gonzalez tube feeding schedule to provide the following: Intermittent feedings 6 times/day Intermittent feedings 8 times/day Continuous feedings Bolus feed (Include the number of times needed)Show Work

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Alexandra Gonzalez is a 28-YO ski instructor. She suffered multiple fractures, which included a broken pelvis leaving her immobile. Activity Level = 1.0. She measured 5’4 and weighted 141# when she was admitted 1-week ago, but has lost 15# since her arrival. She is diabetic and requires the use of antidiabetic drugs (Metformin) and injectable insulin. She has stated she has had low appetite since the accident and follows a strict CHO counting diet. MD has issued orders for a nasoduodenal tube feeding and will receive all oral medication via tube.

  1. Describe the precautions that should be taken since Ms. Gonzalez receives medications through the feeding tube.
  2. After 24-hours of feeding, Ms. Gonzalez develops diarrhea. Identify the possible cause for this and describe what measures can be taken to correct the diarrhea.
  3. Using total calories determined in question #2, plan Ms. Gonzalez tube feeding schedule to provide the following:
    1. Intermittent feedings 6 times/day
    2. Intermittent feedings 8 times/day
    3. Continuous feedings
    4. Bolus feed (Include the number of times needed)Show Work:
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