48 YO F who recently had an esophagoduodenoscopy (EGD) that showed a lesion and a narrowing of the distal esophagus just above the lower esophageal sphincter. A biopsy was taken that proved to be positive for squamous cell adenocarcinoma. Mrs. S was admitted to the hospital for more tests with a plan for possible surgery. Her height is 5’6” with weight of 148 lbs on admission. Her UBW (usual body weight) was 175 lbs. Mrs. S’s physician decided to initiate chemotherapy in an attempt to shrink the tumor prior to surgery. The physician also consulted the surgical dietitian in order to start TPN as the patient could not swallow or have an enteral feeding tube placed due to the tumor. He ordered D5NS at 50 ml/h until the TPN was started. If the hospital uses a 50% dextrose solution, what is the total volume of dextrose that will be used to deliver the appropriate kcals of CHO?
48 YO F who recently had an esophagoduodenoscopy (EGD) that showed a lesion and a narrowing of the distal esophagus just above the lower esophageal sphincter. A biopsy was taken that proved to be positive for squamous cell adenocarcinoma. Mrs. S was admitted to the hospital for more tests with a plan for possible surgery. Her height is 5’6” with weight of 148 lbs on admission. Her UBW (usual body weight) was 175 lbs. Mrs. S’s physician decided to initiate chemotherapy in an attempt to shrink the tumor prior to surgery. The physician also consulted the surgical dietitian in order to start TPN as the patient could not swallow or have an enteral feeding tube placed due to the tumor. He ordered D5NS at 50 ml/h until the TPN was started. If the hospital uses a 50% dextrose solution, what is the total volume of dextrose that will be used to deliver the appropriate kcals of CHO?
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Mrs. S is a 48 YO F who recently had an esophagoduodenoscopy (EGD) that showed a lesion and a narrowing of the distal esophagus just above the lower esophageal sphincter. A biopsy was taken that proved to be positive for squamous cell adenocarcinoma. Mrs. S was admitted to the hospital for more tests with a plan for possible surgery.
Her height is 5’6” with weight of 148 lbs on admission. Her UBW (usual body weight) was 175 lbs. Mrs. S’s physician decided to initiate chemotherapy in an attempt to shrink the tumor prior to surgery. The physician also consulted the surgical dietitian in order to start TPN as the patient could not swallow or have an enteral feeding tube placed due to the tumor. He ordered D5NS at 50 ml/h until the TPN was started.
If the hospital uses a 50% dextrose solution, what is the total volume of dextrose that will be used to deliver the appropriate kcals of CHO?
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