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If a patient is on tube feeding (PEG) Osmolite 1 Cal at 40 ml/hr for 24 hours and is losing weight from 160 lb to 145 lb in one week, what intervention is recommended for this case? Should the formula be changed?

Answer :

Final answer:

The patient's weight loss may indicate insufficient nutritional intake from PEG feeding. The patient's nutritional requirements should be evaluated and compared with what the current feeding regimen provides. If not sufficient, the rate of PEG feeding could be increased or a different formula could be considered.

Explanation:

In such a case, the first intervention would be to evaluate the patient's nutritional status and the adequacy of the current PEG feeding regimen. The loss of weight could indicate that the patient is not receiving sufficient nutrition. An important step would be to calculate the patient's nutritional requirements and compare it with the caloric content provided by the Osmolite 1 Cal at 40ml/hr x 24 regimen. If this regimen does not cover the patient's nutritional needs, it may be necessary to increase the rate of PEG feeding or to switch to a different formula with a higher caloric density or one which is more suited to the patient's specific nutritional needs. Another strategy could be to enrich the existing formula or to add in some supplemental feedings. Always remember, any change in a patient's care plan, particularly when it comes to nutrition and medication, should be done under the supervision and orders of a healthcare provider.

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