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Diabetes Case Study
Diabetes Case Study
Diabetes Case Study
Diabetes
Patient 4
I.
II.
Patient History
Pt 4 has history of suicidal thoughts and auditory hallucinations. She stated that 2
weeks ago she cut herself. Pt 4 has a history of uncontrolled diabetes. Pt is having
glucose tested 4 times daily.
IV.
V.
Nutrition Care
a. Assessment
Weight: 285 lbs = 129.54 kg
Height: 54 = 64
BMI: ((285)/(64)(64))x703= 48.9 kg/m2 Extreme obesity class III
IBW: 100+(5x4)= 120 lbs
%IBW: 285/120= 237.5%
AdBW: 0.25(285-120)+120= 161 lbs = 73.3 kg
Lab Values
Lab
Normal Levels
Results
Na+
133-145 mmol/L
135
Potassium
3.5-5.0 mmol/L
3.7
Glucose
70-105 mg/dl
169
BUN
4.0-25.0 mg/dl
13.0
Creatinine
0.5-12.0 mg.dl
0.83
Ca
8.5-10.4 mg/dl
9.0
Albumin
3.10-4.70 g/dl
4.0
Total Protein
6.6-8.2 g/dl
7.7
Hb
10.9-16.0 g/dl
15.4
Hct
33.0-47.0 %
47.0
Alk Phosphate
38-132 U/L
81
Drugs
Drug
Depakote
Desyrel
Glucophage
Milk of magnesia
Neurontin
Nicoderm
Reason
Mood Disorder
Sleep
Diabetes type 2
Constipation
Neuropathy
Nicotine withdrawal
Diabetes type 2
Mood Disorder
Psychosis
Pain/fever
Increases appetite
Nutrient Needs
o Kcals: 73 kg x 30 kcals= 2190 total kcals
o Protein: 73kg x 1g= 73 g PRO
o Fluids: 73 kg x 30 cc= 2190 cc