Question

In: Nursing

PKU case study Name: Maryam T                               Word: Medical     &n

PKU case study

Name: Maryam T                               Word: Medical                       Bed: 6

Age: 17 years                                     Physician: Khaled Ahmad (unit C)

            Maryam is a 17 years old Kuwaiti girl. She is admitted to the hospital to do a surgery to implant internal fixation of plates and screws to maintain proper position of her fractured leg. She is diagnosed with phenylketonuria during the routine newborn screening test. She reported following low phenylketonuria diet since ever.

Diagnosis:                   leg fracture surgery

Medical plan:             Surgery to implant internal fixation of plates and screws to her fractured leg.

Medical history:         No medical history

Smoking:                    None

Family history:          Mother

Marital status:           Single

           

Physical examination:

Abdomen:      Normal                       

Chest/lungs: Clear   

Skin:               Soft, normal bowel sounds, no-tender           

Edema:           No

Stool:              Normal

Urine:             Normal

           

Vital signs:

BP:                                                      115/70

Pulse:                                                  62

Temperature:                                                37.3 OC

Height:                                                158 cm

Usual weight:                                     44 kg

Current weight:                                 44 kg

Biochemical lab test (before surgery):

Chemistry

Glucose

4.2

5.6 to 6.9 mmol/L

HbA1C (%)

5

<5.7

Creatinine

0.8

0.6-1.2 mg/dL

Urea

5.1

2.5 to 7.1 mmol/L

BUN

9

7-18 mg/dL

Potassium

4

3.5-5.3 mEq/L

Phosphate

2.8

2.5-4.5 mg/dL

Sodium

142

133-143 mEq/L

Chloride

105

98-108 mEq/L

Calcium

10

9-11 mg/dL

Albumin

4.3

3.5-5.8 g/dL

WBC

3.1

4.5-11 x109/L

Platelets

250

150,000-450,000

microliter

Neutrophils

4

3–7 x 109/L

RBC

6.2

4.8-9.3 x109/L

Hb

14

12-16 g/dL

Hct

42%

36-46%

Ferritin

68

20-120 (mg/mL)

MCV

92

80-100 fL

CRP

2

<3 mg/L

Fibrinogen

300

150-400 mg/dL

ESR

17

0-22 mm/hr

Cholesterol

150

<200 (mg/dL)

LDL

90

<130

HDL

52

>59

Triglycerides

120

35-135 (mg/dL)

Phe

153

120-360 mmol/L

question?

  1. The medical food treatment which high in protein (eliminate Phenylalanine) make the patients feel full and increase satiety, which lead her to decrease food intake, how to avoid that? (5)
  1. What is the right diet for infants (under 1year) with PKU? (10)
  1. What range should Maryam keep her blood phenylalanine concentrations and how often should she be monitored? (8)

  1. How long it is recommended to follow a restricted Phenylalanine diet? (10)

  1. In the future when Maryam plan to be pregnant, why it is critical to control her Phenylalanine consumption? (10)
  1. Why PKU patients are more sustainable to depression? (7)

  1. Why does diet soda beverages are forbidden for PKU patients? (5)
  1. What is the benefit of adding metabolic formula to PKU disorder patient diet? (5)

Solutions

Expert Solution

QUESTION : THE MEDICAL FOOD TREATMENT WHICH HIGH IN PROTEIN [ELIMINATE PHENYLALANINE ] MAKE THE PATIENTS FEEL FULL AND INCREASE SATIETY, WHICH LEAD HER TO DECREASE FOOD INTAKE , HOW TO AVOID THAT?

FOLLOW A LOW PHENYLALANINE FOOD PATTERN EAT SPECIAL LOW PROTEIN BREADS AND PASTAS ,PHENYLALANINE FREE MEDICAL FORMULA AND CAREFULLY MEASURED AMOUNTS OF FRUITS,VEGETABLES,CEREALS.

WHAT IS THE RIGHT DIET FOR INFANTS [ UNDER 1 YEAR ] WITH PKU?

A CHILD WITH PKU CAN EAT MANY FOODS LOW IN PROTEIN, SUCH AS VEGETABLES,FRUITS,AND SOME CEREALS.

WHAT RANGE SHOULD MARYAM KEEP HER BLOOD PHENYLALANINE CONCENTRATIONS AND HOW OFTEN SHOULD SHE BE MONITORED?

THE IDEAL RANGE FOR BLOOD PHENYLALANINE LEVEL IS AROUND 2-6 mg/dl [120 - 360μmol/L ] .SAFE LEVEL OF PHENYLALANINE DIFFER FOR EACH PERSON WITH PKU AND CAN VARY OVER TIME.REGULAR REVIEW OF DIET RECORDS,GROWTH CHARTS AND BLOOD LEVELS OF PHENYLALANINE.

HOW LONG IT IS RECOMMENDED TO FOLLOW A RESTRICTED PHENYLALANINE DIET?

A LIFETIME DIET WITH VERY LIMITED INTAKE OF PROTEIN IS RECOMMENDED.

IN THE FUTURE WHEN MARYAM PLAN TO BE PREGNANT, WHY IT IS CRITICAL TO CONTROL HER PHENYLALANINE CONSUMPTION?

HIGH PHENYLALANINE LEVELS IN THE PREGNANT MOTHER CAN CAUSE INTELLECTUAL DISABILITY,SMALL HEAD SIZE, HEART DEFECTS, AND LOW BIRTH WEIGHT IN THE UNBORN BABY.

WHY PKU PATIENTS ARE MORE SUSTAINABLE TO DEPRESSION?

PKU PATIENTS HAVE LOWER IQ  PATIENTS REPORTED DEPRESSION MORE FREQUENTLY. DECREASED QUALITY OF LIFE LEAD TO DEPRESSION IN PKU PATIENTS.

WHY DOES DIET SODA BEVERAGES ARE FORBIDDEN FOR PKU PATIENTS?

PKU PATIENTS ARE UNABLE TO METABOLIZE PHENYLALANINE PROPERLY, THEY SHOULD AVOID OR LIMIT ITS INTAKE FROM FOOD AND DRINK. DIET COKE IS NIT EXACTLY CONSIDERED TO BE A PROTEIN RICH FOOD.HOWEVER,IT DOES CONTAIN ASPARTAME,WHICH IS AN ARTIFICICIAL SWEETNER COMPOSED OF TWO AMINO ACIDS:  ASPARTIC ACID AND PHENYLALANINE.

WHAT IS THE BENEFIT OF ADDING METABOLIC FORMULA TO PKU DISORDER PATIENT DIET?

THE MAIN WAY TO TRAT PKU IS TO EAT A SPECIAL DIET THAT LIMITS FOODS CONTAINING PHENYLALANINE.INFANTS USUALLY NEED TO CONSUME A SPECIAL FORMULA KNOWN AS LOFENALAC.WHEN THE BABY CAN SOLID FOODS,NEED TO AVOID LETTING THEM EAT FOODS HIGH IN PROTEIN.


Related Solutions

Name: Fahad B                                  Word: Medical     
Name: Fahad B                                  Word: Medical                       Bed: ICU bed #9 Age: 57 years                                     Physician: Mona, Khaled (unit A) Fahad is a fit and healthy consultant surgeon. He arrived by ambulance to the ER unconscious after having a seizure in his house after a long sentry duty in the same hospital. His wife reported that he experienced incomprehensible symptoms in the last two months like continues headaches, strange feeling in his head, imperiled vision, difficulty to recall his patient and colleges names...
CASE STUDY:                                         &n
CASE STUDY:                                           “THE CARPENTER” Chris is a shy, anxious-looking, 31-year old carpenter who has been hospitalized after making suicide attempt by putting his head in a plastic bag. He asks to meet with the psychiatrist in a darkened room. He is wearing a baseball cap pulled down over his forehead and partially covering his eyes. Looking down at the floor, Chris says he has no friends, has just been fired from his job, and was recently rejected by his...
Case Study #2 Part 1. Make a case study (written by medical professionals for medical professionals)...
Case Study #2 Part 1. Make a case study (written by medical professionals for medical professionals) using 10 words in list below. 1)     Chancre 2)     Coitus 3)     Potency 4)     Urethritis 5)     Vasectomy and/or Vasovasostomy 6)     Sterile and/or Sterilization 7)     Amenorrhea and/or Dysmenorrhea and/or Menorrhea 8)     Dyspareunia 9)     Hysterosalpingography 10)   Culdocentesis 11)    Menarche 12)   Menorrhagia 13)   Puerperium 14)   Anovulatory 15)   Gravida 1 Part 2. define the words listed within the context they are used in the case study you just made Define all the words in the list above
medical terminology) case study for patient case find all medical terms, add more medical termes uo...
medical terminology) case study for patient case find all medical terms, add more medical termes uo to 100 and defined them. ( underline each term) Introduction: The patient Mr. J, a 58 years old African-American, admitted in the Emergency Department with complaints of loss of balance followed by the altered level of consciousness (ALOC), left-sided hemiparesis, dysarthria, and facial droop. He denied chest pain, visual disturbances, cephalalgia, trauma, bowel incontinence, urinary incontinence, etc. He had stable vital signs except blood...
MARKETING ANALYTICS: Case Study                       Name: ____________________          &nbs
MARKETING ANALYTICS: Case Study                       Name: ____________________                                                                                                                                                                                                               Date:     ________________________ Background You have been promoted to Vice President of Marketing for ACME CPG, Inc. ACME sells consumer packaged goods (CPG) to its customers in the United States. ACME competes against other CPG companies, such as Procter & Gamble with brands such as Tide laundry detergent and Ivory soap, as well as Unilever, with brands such as Sun laundry detergent and Dove soap. Customers mostly know ACME CPG for its line of environmentally friendly...
medical terminology) case study for patient case find and add more medical terms up to 100...
medical terminology) case study for patient case find and add more medical terms up to 100 and put underline each term) Introduction: The patient Mr. J, a 58 years old African-American, admitted in the Emergency Department with complaints of loss of balance followed by the altered level of consciousness (ALOC), left-sided hemiparesis, dysarthria, and facial droop. He denied chest pain, visual disturbances, cephalalgia, trauma, bowel incontinence, urinary incontinence, etc. He had stable vital signs except blood pressure of 150/90 mm...
Medical Terminology: ( Case Study) Building a Medical Vocabulary: Pick 100 medical terms (NOT 100 words)...
Medical Terminology: ( Case Study) Building a Medical Vocabulary: Pick 100 medical terms (NOT 100 words) that you learned in class and create a case study ( I got some information about my case study and I need your help to complete: Lessons Learned), in the end, I put an example for what I want. these my first points of case study, and I need the other point (Lessons Learned): Introduction A 59 year of Male patient reported to the...
CASE STUDY: THE CASE OF ROSA N.* In many parts of the world the kind of...
CASE STUDY: THE CASE OF ROSA N.* In many parts of the world the kind of blatant racism, sexism, and discrimination described in the denial section of this chapter is becoming less common. Two such places are The Netherlands and California, both of which have the reputation of being racially progressive and tolerant when compared to other European countries or U.S. states. People articulate the virtues of pluralism, deny the presence of racism in their communities, and condemn its presence...
Case study St. Luke's Medical Center set out to implement a digital medical record, planning to...
Case study St. Luke's Medical Center set out to implement a digital medical record, planning to do so in three phases. Phase 1 would involve establishing a clinical data repository, a central database from which all ancillary clinical systems would feed. Phase 2 would consist of the implementation of CPOE and nursing documentation systems, and Phase 3 would see the elimination of all outside paper reports through the implementation of a document imaging system. St. Luke's staff felt that if...
in you own word do a case study on plastic bottles, as in effort to reduce...
in you own word do a case study on plastic bottles, as in effort to reduce plastic bottles.
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT