Which client is likely to be prescribed a ketogenic diet? A 15-year-old with type 1 diabetes A 5-year-old diagnosed with uncontrolled seizures A 75year-old newly diagnosed with gastroesophageal reflux disease (GERD

Which client is likely to be prescribed a ketogenic diet? A 15-year-old with type 1 diabetes A 5-year-old diagnosed with uncontrolled seizures A 75year-old newly diagnosed with gastroesophageal reflux disease (GERD

Nutrition Through The Life Cycle

7th Edition

ISBN:9781337919333

Author:Brown, Judith E.

Publisher:Brown, Judith E.

Chapter17: Adult Nutrition -conditions And Interventions

Section: Chapter Questions

Problem 4RQ

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Diabetic Ketoacidosis - DEFINITION - PREDISPOSING FACTORS - SIGN AND SYMPTOMS - ANATOMY AND PHYSIOLOGY/PATHOPHYSIOLOGY - DIAGNOSTIC/LABORATORY WORK- UP - PHARMACOLOGY - ASSESSMENT/NCP - EDUCATION/FOLLOW-UP/HOME CARE
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The patient is a 65-year-old male with long history of type 2 Diabetes and obesity. He does not smoke. He had knee surgery 10 years ago but otherwise has had no other major medical problem. Over the years he has tried low glycemic diet and Aerobic exercise program to reduce his weight but has not been very successful. His granddaughter just started high school and he wants to see her graduate and go on college. He understands that his diabetes puts him at high-risk for heart disease and is frustrated that he cannot lose the necessary weight. His neighbor told him about a colleague at work who had his stomach stapled (Gastric or Bariatric surgery) and as a result not only lost over 100 lbs, but also “cured” his diabetes. In addition, one family member told him about intermittent fasting and Keto diet while other relative is regularly doing High-intensity interval training (HIIT). He wants to know which among those treatments or interventions would be the best option for him. 1.…
The patient is a 65-year-old male with long history of type 2 Diabetes and obesity. He does not smoke. He had knee surgery 10 years ago but otherwise has had no other major medical problem. Over the years he has tried low glycemic diet and Aerobic exercise program to reduce his weight but has not been very successful. His granddaughter just started high school and he wants to see her graduate and go on college. He understands that his diabetes puts him at high-risk for heart disease and is frustrated that he cannot lose the necessary weight. His neighbor told him about a colleague at work who had his stomach stapled (Gastric or Bariatric surgery) and as a result not only lost over 100 lbs, but also “cured” his diabetes. In addition, one family member told him about intermittent fasting and Keto diet while other relative is regularly doing High-intensity interval training (HIIT). He wants to know which among those treatments or interventions would be the best option for him. What type…
A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink. You get more information from A.M. and learn She had some readings on her glucometer which were reading ‘high’ She vomits almost every time she takes in fluid She hasn’t voided for a day but voided a great deal the day before She’s been sleeping long hours and finally woke up this morning and…
In relation to each cue, describe the pathophysiology of diabetic ketoacidosis (DKA). Fruity and sweet-smelling Odor to the breath Oliguria (low urine output) Frequent urination High blood glucose levels Hypertension Excessive thirst Nausea and vomiting Fatigue and lethargy
Becky has been admitted to the paediatric ward from the emergency department after being brought to hospital by her parents due to becoming drowsy at home. Becky is being treated for diabetic ketoacidosis via intravenous insulin and fluids, blood glucose was 36 mmol/l and blood ketones were 3.2 mmol/l on admission. Currently, becky is withdrawn and has said she wants to go home, she says will be ok and that she doesn’t want the treatment. When speaking to mom and dad, they have stated that becky should not be told about the severity of her condition as she will worry too much. Patient Details Name: becky Smith Date of Birth: 13/08/2009 - Age 14 Address: Next Of Kin: Parents, James and Donna Religion: None Ethnic origin: White British Presenting Complaint or Reason for visit Diabetic ketoacidosis (DKA) secondary to recently diagnosed type 1 diabetes (T1DM) Past Medical History T1DM Autism Current Medication Lantus – 12 units - one per day in the evening Novorapid – for administration…
Becky has been admitted to the paediatric ward from the emergency department after being brought to hospital by her parents due to becoming drowsy at home. Becky is being treated for diabetic ketoacidosis via intravenous insulin and fluids, blood glucose was 36 mmol/l and blood ketones were 3.2 mmol/l on admission. Currently, becky is withdrawn and has said she wants to go home, she says will be ok and that she doesn’t want the treatment. When speaking to mom and dad, they have stated that becky should not be told about the severity of her condition as she will worry too much. Patient Details Name: becky Smith Date of Birth: 13/08/2009 - Age 14 Address: Next Of Kin: Parents, James and Donna Religion: None Ethnic origin: White British Presenting Complaint or Reason for visit Diabetic ketoacidosis (DKA) secondary to recently diagnosed type 1 diabetes (T1DM) Past Medical History T1DM Autism Current Medication Lantus – 12 units - one per day in the evening Novorapid – for administration…
Becky has been admitted to the paediatric ward from the emergency department after being brought to hospital by her parents due to becoming drowsy at home. Becky is being treated for diabetic ketoacidosis via intravenous insulin and fluids, blood glucose was 36 mmol/l and blood ketones were 3.2 mmol/l on admission. Currently, becky is withdrawn and has said she wants to go home, she says will be ok and that she doesn’t want the treatment. When speaking to mom and dad, they have stated that becky should not be told about the severity of her condition as she will worry too much. Patient Details Name: becky Smith Date of Birth: 13/08/2009 - Age 14 Address: Next Of Kin: Parents, James and Donna Religion: None Ethnic origin: White British Presenting Complaint or Reason for visit Diabetic ketoacidosis (DKA) secondary to recently diagnosed type 1 diabetes (T1DM) Past Medical History T1DM Autism Current Medication Lantus – 12 units - one per day in the evening Novorapid – for administration…