1. Case 3 60 year old male Caucasian Presents with: Low grade fever (99.8) Mild low back pain Extremity weakness Has been on steroids & antibiotics Not a surgical candidate Has borderline lung function
13. Corticosteroids Include prednisone & cortisone Anti-inflammatory medication Used to treat diseases such as asthma, eczema, allergies, arthritis, colitis, and kidney disease, IBD, lupus, and MS Intended use for 1 to 2 weeks
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15. Delayed Effects of Temodar Swelling/edema Central neurotoxicity Diarrhea Weakness Skin rash Itching
16. Diet Prescription It is recommended that you supply 45-55 kcal per kg BW to avoid catabolism 45*97 kg= 4,300 kcals Patient is obese so with this consideration Mifflin St. Jeor equation= 1,800 kcals Recommended that patient receive ~ 3000 kcals per day
17. Diet Prescription Protein is a main focus: 0.55 g/kg 0.55 (97kg)= 53 grams per day Fluid needs based on urine output Want to watch BUN, creatinine, and electrolyte levels
Hinweis der Redaktion
-Family history is unknown-People exposed to ionizing radiation have increased risk of brain tumors-We do not know his employment history but people working in certain industries have increased risk; including: agriculture, electrical, health care, and oil refineries-Age: the majority of brain tumors occur in people 45 and older-brain tumors more common in white people than other races
-Occur in hospitals or other health care settings, such as nursing homes and dialysis centers-It is known health care-associated MRSA or HA-MRSA
-Acute kidney failure is common in people that are already hospitalized, particularly those in intensive care
Cannot tell whether blood potassium is high because it is removed during the dialysisThere is no indication of urine output amount