Answer :
Mrs. Emily Montgomery is a 55-year-old woman who was admitted with a diagnosis of pneumonia and malnutrition. The patient has had a poor appetite for the past year and usually eats one small meal daily. She reports a 40-lb weight loss. She is receiving oxygen at 2 L/min, intravenous fluids of 5% dextrose, and water with 40 mEq of potassium added. She is on a full liquid diet with orders to push oral fluids. Mrs. Montgomery has a thin, frail-appearing physique in mild respiratory distress. She lives alone and does not work outside of the home. Her husband of 30 years passed away about 1 year ago. She has a son and a daughter both are married and live approximately 100 miles away.Hemoglobin levels are 9.7 g/dL, hematocrit is 30.1%, and albumin is 2.8 g/dL. Emily Montgomery was admitted to the Medical floor with the following orders:
- 1. Diet: Full liquid diet
- 2. Dietary consult
- 3. Vital signs every 4 hours
- 4. Intake and Output every 4 hours 5. 02 at 2 L/min via nasal cannula, titrate to maintain SpO2 above 92% 6. D5 W + 40 mEq KCl at 80 mL/hour continuous 7. Levofloxacin 500 mg IV every 24 hours X 7 days 8. Multivitamin 1tab po daily 9. Refer to psychiatrist to r/o depression
About Malnutrition
Malnutrition occurs when the body does not get enough nutrients. The cause can be a poor diet, digestive conditions, or other diseases. Symptoms of fatigue, dizziness and weight loss. Untreated malnutrition can lead to physical or mental disabilities.Treatment must address the underlying condition and replace lost nutrients.
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