Question

PLEASE READ THE CASE STUDY AND ANSWER THE QUESTIONS TO THE BEST OF YOUR ABILITY:

Mr. Jackson is 86 years old. He is admitted to HUMC for congested heart failure. He also has a history of renal failure and goes for dialysis on Mondays, Wednesdays and Friday. He has an AV fistula in his right hand. He also has a history of diabetes, hypertension and depression.

He is allergic to shrimp. He is a nonsmoker. He lives with his wife and two sons.

He is on a renal, low sodium, low cholesterol diet.

He is positive for clostridium difficile.

He suffered a stroke while he was in the hospital and now has left sided weakness.

3. What factors should be included in your nutritional and fluid and electrolytes assessment?

Answer 1

• The age hypertension, diabetes ,GI problems due to clostridium defiicilli ,low sodium diet may leads to electrolyte imbalance
• Daily asessment of nutrional level
• Ensure the diatician included to check the nutrional and elcrolyte content in renal diet
• Need the proper antibiotics against clostredium difficlille
• minitor the serum RFT and electrolytes .
• Monitor and record the intake and urine output daily
• check electrolyte imbalance
• monitor the daily weight and vitals monitor
• asees the depression level and give  psychological support
• asess the cardiac function