Misty Moore is a 36-year-old woman who was admitted to the hospital with a complete bowel obstruction, multiple abdominal adhesions, and a flare-up of Crohn’s disease. She stands 5 ft 5 in. and weighs...

Misty Moore is a 36-year-old woman who was admitted to the hospital with a complete bowel obstruction, multiple abdominal adhesions, and a flare-up of Crohn’s disease. She stands 5 ft 5 in. and weighs 65 kg (143 lb). Her usual weight is 75 kg (165 lb). Her past medical condition includes Crohn’s disease since age 16, as well as a 10-year history of type 2 diabetes. Exploratory surgery is scheduled to remove the diseased portion of her small bowel as well as to perform lysis of the adhesions, which occurred as a result of her previous bowel operations. Because of her depleted nutritional state and the 10% drop in her weight, nutritional support is indicated. Her GI tract is not expected to be accessible for at least 10 to 14 days.

1. What type of nutritional support do you think will be ordered for Misty? Why?

2. Considering the patient’s condition, what metabolic problem would you suspect she is at risk for developing? 3. How can the risk of developing this problem be reduced?

3. Create a list of potential complications to which Christopher and his family should be alerted.