Nursing Nutrition Case Study # 21 Need done by January 30th at 11:59 pm!! Plz help me out х and galidades endron’s brochure CASE STUDY #21 Dorothea is a 72

Nursing Nutrition Case Study # 21 Need done by January 30th at 11:59 pm!! Plz help me out х
and galidades endron’s
brochure
CASE STUDY #21
Dorothea is a 72-year-old black woman who is 5 ft 5 in tall and weighs 149 pounds. She has
coronary heart disease and a long-standing history of hypertension with progressive loss of
kidney function. She recently started receiving hemodialysis and is gaining about 4 pounds
between treatments. She has convinced herself that because she is on dialysis, she can eat and
drink whatever she wants and the machine will take care of it.”
Yesterday, she ate the following:
Breakfast:
Lunch:
Grits with cheese
Bacon
Biscuit with butter
Coffee
Hamburger on bun with ketchup and mustard
Potato chips
Banana
Sweetened tea
Fried chicken
Macaroni and cheese
Collard greens
Pound cake
Sweetened tea
Pinner:
What risk factors does Dorothea have for CKD?
Based on her age, weight, and use of hemodialysis, what should the composition of her
diet be (e.g., number of calories, grams of protein, grams of sodium)?
Why is she gaining 4 pounds between treatments? What is a more reasonable goal? What
would you suggest she do to achieve the goal?
Evaluate her protein intake and recommend changes she could make to achieve her
protein goals.
What foods is she eating that are not heart healthy? What substitutions would you
recommend?
Evaluate her sodium intake and recommend changes she could make to limit her sodium
intake.
What foods is she eating that are high in potassium? What alternatives would you
suggest?
What foods is she eating that are high in phosphorus? Is her calcium intake adequate?
What would you tell Dorothea about the use of dialysis and her theory about eating
anything she wants?
Which is the lesser risk: getting enough calories and protein by eating non-heart-healthy
foods or adhering to the sodium and other restrictions but not getting enough calories an
protein?
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