CASE:
Mark Andres is a 54-year-old man who suffered from stroke 3 days ago. He is suffering from right sided paralysis and dysphagia.
NGT was inserted 2 days ago and the doctor has ordered to feed the client with ensure 50 cc/hour for the first 24 hours then 70 cc/hour after the 24 hours.
Upon assessment of the client, you noticed the he has loose watery stool.
At the time of admission, Mark Andres is 5”7 tall and the weight 62kg.
On examination the patient looks well, and noticed some drooling of saliva on his right side.
His laboratory reports were as follows:
WBC- 9x10 g/dl ( 11-14 g/dl)
Na= 136/mmol/L ( 130-140mmol),
K+ 3.8mmol/L(3.3-4.1 mmol/L),
Urea=2.6 mmol/L (2.4-4.3 mmol/L),
Crea 10 mcmmol/L (38-42 mcmmol/L),
QUESTIONS:
1.Identify the nursing problem in the situation focusing on the nutrition status and come up with a nursing diagnosis?
2.Identify atleast 2 goals in the management of the nutritional status of your client?
3.Identify atleast 3 techniques on how you are going to feed your client in his condition ?
4.What are your nursing interventions to address the diarrhea of a client with NGT feeding?