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.Why is NGT indicated to the patient?
2.What ethical considerations must be taken into account before inserting NGT to the patient? Give atleast 2 and explain why?
3.Based on the data given, what are the important aspects in the nutritional status of the patient that needs to be assessed before tube feeding?