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    Intervention Activity Worksheet: IBW 51.8 KG

    Uploaded by

    Latifah Alsahaley
    This document provides information about a 49-year-old woman named Sameera who was admitted to the hospital with a blood sugar level of 680 mg/dL and a diagnosis of type 2 diabetes. It includes her medical history, physical measurements, lab results, and answers to questions to assess her nutritional needs and develop a recommended diet plan and medical nutrition therapy to manage her diabetes and weight.

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    © All Rights Reserved
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    Intervention Activity Worksheet: IBW 51.8 KG

    Uploaded by

    Latifah Alsahaley
    103 views2 pages
    This document provides information about a 49-year-old woman named Sameera who was admitted to the hospital with a blood sugar level of 680 mg/dL and a diagnosis of type 2 diabetes. It includes her medical history, physical measurements, lab results, and answers to questions to assess her nutritional needs and develop a recommended diet plan and medical nutrition therapy to manage her diabetes and weight.

    Original Title

    practice1-MRNL - Intervention

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    This document provides information about a 49-year-old woman named Sameera who was admitted to the hospital with a blood sugar level of 680 mg/dL and a diagnosis of type 2 diabetes. It includes her medical history, physical measurements, lab results, and answers to questions to assess her nutritional needs and develop a recommended diet plan and medical nutrition therapy to manage her diabetes and weight.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    103 views2 pages

    Intervention Activity Worksheet: IBW 51.8 KG

    Uploaded by

    Latifah Alsahaley
    This document provides information about a 49-year-old woman named Sameera who was admitted to the hospital with a blood sugar level of 680 mg/dL and a diagnosis of type 2 diabetes. It includes her medical history, physical measurements, lab results, and answers to questions to assess her nutritional needs and develop a recommended diet plan and medical nutrition therapy to manage her diabetes and weight.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Intervention Activity

    Worksheet

    Based on the following information, answer the questions below.


    Sameera is 49 year old woman who was admitted to the hospital with a random blood sugar
    level of 680 mg/dL. Her current weight is 86 kg and height is 160cm. She usually goes to gym
    where she usually works out 3 times a week. During her work hours, she eats a healthy lunch but
    picks up fast food for the evenings because she is too tired to cook. She is divorced and has two
    sons living out of the country. Patient stated that she was having excessive urination and was
    eating “all the time”. Admitted with a new diagnosis of type 2 Diabetes Mellitus While doctors
    are trying to get her blood sugars down; they have her on a clear liquid diet. They have
    requested an RD consult to recommend the best diet order and MNT for sameera.

    1. What information above would be considered Subjective information

    She usually goes to the gym where she usually works out 3 times a week. During her
    work hours, she eats a healthy lunch but picks up fast food for the evenings because she
    is too tired to cook. Patient stated that she was having excessive urination and was eating
    “all the time”.

    2. What information above is objective data?

    Random blood sugar level of 680 mg/dL.


    Her current weight is 86 kg and height is 160cm.
    Admitted with a new diagnosis of type 2 Diabetes Mellitus While doctors are trying to
    get her blood sugars down.

    3. What is her IBW? What is her %IBW?


    IBW = 160 - 152.4 = 7.6
    7.6 x 0.9 = 6.8
    45 + 6.8 = 51.8
    IBW = 51.8 Kg

    86 \ 51.8 = 1.66 x 100 = 166%


    %IBW = %166

    4. Calculate and assess her BMI.

    BMI = 86 \ 1.6² = 33.5 obese

    5. Calculate her REE needs using the Mifflin Equation. What Activity Factor would you
    use?

    10(W) + 6.25(Ht) – 5(Age) – 161


    10 (86) + 6.25 (160) - 5(49) - 161= 1454
    average activity 1.75 , 1454 x 1.75 = 2544 kcal
    2544-100 = 2444 kcal (to reduce weight)
    Intervention Activity
    Worksheet

    6. Calculate her protein and fluid needs.


    Protein needs: 2444x20\100=4888.8\4=122g
    Fluid needs: 2444+100=2544 ml

    7. How many calories are in a clear liquid diet


    700 kcal

    8. What diet would you recommend for this patient


    To modify dietary intake Provide a good healthy choice, carbohydrate intake from vegetables,
    fruits, whole grains, legumes, and dairy products should be advised over intake from other
    carbohydrate sources, especially those that contain added fats, sugars, or sodium. Reducing
    energy intake while maintaining a healthful eating pattern is recommended to promote weight
    loss. Substituting low-glycemic-load foods for higher-glycemic-load foods to modestly improved
    glycemic control.

    9. What is MNT

    Medical nutrition therapy (MNT) is a specific application of the Nutrition Care Process in
    clinical settings that are focused on the management of diseases

    10. What is a possible PES statement for this patient


    P High blood glucose level.
    E Related to excessive carbohydrate intake.
    S As evidenced by the lab value of blood sugar (680 mg/dL), excessive urination, eating
    fast food for evenings, and eating all the time.

    11. What is a possible Nutrition Intervention


    Decrease the carbohydrate intake ( Carbohydrate Counting).

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