Case Study
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1" WT: 104# UBW: 115#
-The doctor has determined that TS requires mechanical ventilation and has consulted the registered dietitian He/she is most concerned with:

Question

Case Study
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1"       WT: 104#      UBW: 115#
-The doctor has determined that TS requires mechanical ventilation and has consulted the registered dietitian He/she is most concerned with:

Quizplus · Accepted Answer

TS requires mechanical ventilation, which may increase the risk of excess CO₂ production. Overfeeding can also lead to excess CO₂ production, so the registered dietitian's main concern should be avoiding overfeeding. The registered dietitian is most concerned with overfeeding causing excess CO₂ production. Overfeeding can lead to excessive production of carbon dioxide, which can further exacerbate TS's respiratory distress. Therefore, it is important to closely monitor and control the amount of nutrients provided to prevent overfeeding while still meeting energy and protein needs. Option A is not the best choice as previous weight loss should be taken into account when determining the patient's caloric needs. Option C is not the best choice as providing more than the patient's estimated energy needs may lead to overfeeding. Option D is not the best choice as decreased O₂ consumption is not a primary nutrition concern in this case.

Case Study TS Is an 80 Yo F Admitted to the Hospital