Please write answers in spaces provided and show all work in provided blue book. Answers not written in the provided area will not be graded and will be marked as wrong. All answers must also have proper units or will be marked wrong as well; I will accept both kcal and cal for calories. For calories and protein please give me both the total and factor you are using. 1) Mr. K is an 83-year-old male currently in the ICU on a ventilator following a MI. PMH includes HTN, MI, and CVD. An OG tube has been placed and continuous enteral nutrition will be initiated. Ht: 5'10" Wt: 192lbs Calories Needed Protein Needed TF Formula/total volume Final Rate/#cans Duration Total Calories Provided Protein Provided Free Water Provided Daily Water Flushes 2) Mr. K while still vented is experiencing large volumes of watery diarrhea likely due to malabsorption of the tube feeding. The formula has been changed and no change was noted to the diarrhea. The plan is to now put him on TPN. Write a TPN order to meet his needs. AA Lipids D Total Calories: Rate: Total Volume: St. Vincent's Medical Center Enteral and Oral Nutrition Formulary (Updated 2019) Standard Tube-Feeding Formulas Specialty Tube-Feeding Formulas Product Name Osmolite 1 Cal Jevity 1.2 Cal Glucerna 1.2 Cal TwoCal HN Nepro with Carb Pivot 1.5 cal Vital High Protein Vital AF 1.2 Cal Steady For Gl intolerance Features and Indications Isotonic, standard without fiber Standard fiber fortified Diabetes or abnormal Nutrient-dense, For dialysis patients; glucose tolerance low-volume feeding fluid restriction; low from metabolic stress in phosphorus, potassium and sodium 11 1L 1L For mechanically ventilated with major elective surgery, trauma High-Protein, low- fat, for inflammation and Gl intolerance 1L 1L 1L 1L 14 Nutrient Values per Calories/mL Protein (e) Carbohydrates 1.06 44.3 143.9 1.2 55.5 169.4 1.2 60 114.5 2.0 83.5 218.5 1.8 81 161 1.5 93.8 172.4 1.0 87.5 112 1.2 75 110.6 Sodium (mg) Potassium (mg) 930 1570 1350 1850 1110 2020 1450 2440 1060 1060 1400 2000 1400 1600 1266 1688 760 1200 800 1050 720 1000 800 844 305 400 320 425 210 400 280 338 Phosphorus (mg) Magnesium (mg) Calcium (mg) Osmolality (mOsm/kg H20) 760 300 1200 450 800 720 1050 775 1060 745 1000 595 800 353 844 425 12.6 944 7.5 1000 0 1422 5.1 1185 Fiber (8) 0 18 16.1 5 mL to meet 1321 1000 1250 948 100% of RDIS % Water 84 81 81 70 *mL to meet 100% Recommended Dietary Intake for essential vitamins and minerals 73 76 NA = Not Applicable 84 81 NL = Not listed on the corporate website Please write answers in spaces provided and show all work in provided blue book. Answers not written in the provided area will not be graded and will be marked as wrong. All answers must also have proper units or will be marked wrong as well; I will accept both kcal and cal for calories. For calories and protein please give me both the total and factor you are using. 1) Mr. K is an 83-year-old male currently in the ICU on a ventilator following a MI. PMH includes HTN, MI, and CVD. An OG tube has been placed and continuous enteral nutrition will be initiated. Ht: 5'10" Wt: 192lbs Calories Needed Protein Needed TF Formula/total volume Final Rate/#cans Duration Total Calories Provided Protein Provided Free Water Provided Daily Water Flushes 2) Mr. K while still vented is experiencing large volumes of watery diarrhea likely due to malabsorption of the tube feeding. The formula has been changed and no change was noted to the diarrhea. The plan is to now put him on TPN. Write a TPN order to meet his needs. AA Lipids D Total Calories: Rate: Total Volume: St. Vincent's Medical Center Enteral and Oral Nutrition Formulary (Updated 2019) Standard Tube-Feeding Formulas Specialty Tube-Feeding Formulas Product Name Osmolite 1 Cal Jevity 1.2 Cal Glucerna 1.2 Cal TwoCal HN Nepro with Carb Pivot 1.5 cal Vital High Protein Vital AF 1.2 Cal Steady For Gl intolerance Features and Indications Isotonic, standard without fiber Standard fiber fortified Diabetes or abnormal Nutrient-dense, For dialysis patients; glucose tolerance low-volume feeding fluid restriction; low from metabolic stress in phosphorus, potassium and sodium 11 1L 1L For mechanically ventilated with major elective surgery, trauma High-Protein, low- fat, for inflammation and Gl intolerance 1L 1L 1L 1L 14 Nutrient Values per Calories/mL Protein (e) Carbohydrates 1.06 44.3 143.9 1.2 55.5 169.4 1.2 60 114.5 2.0 83.5 218.5 1.8 81 161 1.5 93.8 172.4 1.0 87.5 112 1.2 75 110.6 Sodium (mg) Potassium (mg) 930 1570 1350 1850 1110 2020 1450 2440 1060 1060 1400 2000 1400 1600 1266 1688 760 1200 800 1050 720 1000 800 844 305 400 320 425 210 400 280 338 Phosphorus (mg) Magnesium (mg) Calcium (mg) Osmolality (mOsm/kg H20) 760 300 1200 450 800 720 1050 775 1060 745 1000 595 800 353 844 425 12.6 944 7.5 1000 0 1422 5.1 1185 Fiber (8) 0 18 16.1 5 mL to meet 1321 1000 1250 948 100% of RDIS % Water 84 81 81 70 *mL to meet 100% Recommended Dietary Intake for essential vitamins and minerals 73 76 NA = Not Applicable 84 81 NL = Not listed on the corporate website