Question

Biology
DFN 348 Spring 2021 Malnutrition Case Study
63-year-old woman with significant PHMx of generalized anxiety disorder and IBS admitted for
observation. Patient complaining of abdominal pain, malaise and loss of appetite x 10 days. Patient
with no po intake x 3 days. Meds: Xanax (not taking). Diet Rx: Regular with Ensure TID. Social hx:
married, 2 children. Significant home stressors with children making poor life choices and financial
stressor within the family. NFPF: 2+ pitting edema; temporal & clavicle wasting; reduced grip strength.
Skin: dry with pinch test positive for low turgor. Ht: 5'3" CBW: 100# UBW: 110# (4 months ago). Labs:
Na+ 150 mEq/L (135-145), K+ 4.8 mEq/L (3.5-5.5), Cl- 110 mEq/L (96-106), BUN 30 mg/dL (7-20),
Creatinine 1.2 mg/dL (0.5-1.0), glu 102 mg/dL (70-99); urine analysis – urine specific gravity 1.040
(1.002-1.030); color - deep amber. Usual dietary intake: am 1 cup coffee, 1 piece of toast with butter,
lunch 1/2 cup soup, 6 crackers, water, 1 cup coffee, dinner 1/2 chicken cutlet, 1 small baked potato and 3
pieces of broccoli
Please write a nutrition assessment in ADIME format​

Answer 1

Answer:

Take USG Could be lymphadenopathy¿¿¿¿ Creatinine increasing BUN is high

Answer 2

Explanation:

The first power loom was designed in 1786 by Edmund Cartwright and first built that same year. It was refined over the next 47 years until a design by the Howard and Bullough company made the operation completely automatic.