58 year old female with Down's Syndrome

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Recentl admission. 58 year old female with Down's Syndrome. She is

non-verbal. Height: 49 inches, Weight: 82 lbs. Based on normal standards

her BMI is 24. she currently has a G-tube with Osmolite 1.2 at 45 ml/hr

with 100 ml H20 flush every 8 hours Recent hospitalization for aspiration

pneumonia which is what promoted the G-tube placement. She was also

admitted with sepsis, acute kidney injury(whatever that means), dysphagia,

metabolic alkalosis, and sinus bradycardia. BUN, Cr, Na+, & K+ all WNL.

Current medications include: Ca with Vit D, MVI, Zyvox, Lactobacillus, and

Prevacid. Speech is working with her and attempting to transition to oral

diet. I am skeptical of their possbility of success, but stranger things

have happened. I have references for down syndrome children stating that

kcalorie needs are 13.3 kcal/cm ht. I have one other Down Syndrome

resident, but he is alert and able to take oral diet. His nutritional

status is fairly stable. I am looking for any references pertaining any

adjustments necessary regarding the assessed nutrition needs. Thank you,

Carol

--

" It is better to fail in originality than to succeed in imitation. "

Herman Melville

http://www.carolscasey.com

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