krauses food the nutrition care process 14th edition clinical case study winifred a 38 year old

1. Winifred's BMI is calculated by dividing her weight in kilograms by her height in meters squa

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CLINICAL CASE STUDY Winifred, a 38-year-old female, is seen at City Hospital emergency department (ED). She has a history of hypertension, obesity, and unsuccessful weight loss attempts. She loves fried foods, soft drinks, beer, and pretzels. She has a history of binge eating. Winifred is required to have a yearly physical by her employer but has put off scheduling the appointment until she can lose some weight. She fell down some stairs in a work-related accident and was sent to the ED for observation. The emergency department doctor determined that Winifred has no broken bones but is concerned about her elevated blood pressure, 185/98. The doctor orders laboratory tests, and Winifred is admitted to the hospital. Her medical profile today is: Age: 38 years old Height: 5'1" Weight: 285 lb Glucose: 142 mg/dL; 7.8 mmol/L Calcium: 9.1 mg/dL; 2.27 mmol/L Sodium: 140 mEq/L; 140 mmol/L Potassium: 3.6 mEq/L; 3.6 mmol/L CO2: 25 mEq/L; 25 mmol/L Chloride: 96 mEq/L; 96 mmol/L BUN: 30 mg/dL; 10.7 mmol/L Creatinine: 0.9 mg/dL; 79.6 µmol/L Albumin: 3.8 g/dL; 38 g/L Total protein: 8.0 g/dL; 80 g/L ALP: 35 U/L; 0.5 kat/L ALT: 28 units/L; 28 units/L AST: 23 units/L; 0.38 kat/L Bilirubin, total: 1.5 mg/dL; 25.65 µmol/L RBC: 5.1 x 10^6 mL; 5.1 x 10^12 L Hgb: 11 g/dL; 7 mmol/L Hct: 30%; 0.30 MCV: 78 mm^3; 78 fL MCH: 23 pg MCHC: 40 g/dL; 40% WBC: 8 x 10^9 Total cholesterol: 245 mg/dL LDL: 145 mg/dL HDL: 30 mg/dL Triglycerides: 210 mg/dL Winifred is referred for medical nutrition therapy. NFPA indicates a robust female, with excessive fat stores, normal muscular development, and no fluid accumulation. Assess her nutrition status using the data provided. Nutrition Diagnostic Statement Altered laboratory values related to disordered eating pattern as evidenced by signs of nutritional anemia and dyslipidemia.

          CLINICAL CASE STUDY
Winifred, a 38-year-old female, is seen at City Hospital emergency department (ED). She has a history of hypertension, obesity, and unsuccessful weight loss attempts. She loves fried foods, soft drinks, beer, and pretzels. She has a history of binge eating. Winifred is required to have a yearly physical by her employer but has put off scheduling the appointment until she can lose some weight. She fell down some stairs in a work-related accident and was sent to the ED for observation. The emergency department doctor determined that Winifred has no broken bones but is concerned about her elevated blood pressure, 185/98. The doctor orders laboratory tests, and Winifred is admitted to the hospital. Her medical profile today is:
Age: 38 years old
Height: 5'1"
Weight: 285 lb
Glucose: 142 mg/dL; 7.8 mmol/L
Calcium: 9.1 mg/dL; 2.27 mmol/L
Sodium: 140 mEq/L; 140 mmol/L
Potassium: 3.6 mEq/L; 3.6 mmol/L
CO2: 25 mEq/L; 25 mmol/L
Chloride: 96 mEq/L; 96 mmol/L
BUN: 30 mg/dL; 10.7 mmol/L
Creatinine: 0.9 mg/dL; 79.6 µmol/L
Albumin: 3.8 g/dL; 38 g/L
Total protein: 8.0 g/dL; 80 g/L
ALP: 35 U/L; 0.5 kat/L
ALT: 28 units/L; 28 units/L
AST: 23 units/L; 0.38 kat/L
Bilirubin, total: 1.5 mg/dL; 25.65 µmol/L
RBC: 5.1 x 10^6 mL; 5.1 x 10^12 L
Hgb: 11 g/dL; 7 mmol/L
Hct: 30%; 0.30
MCV: 78 mm^3; 78 fL
MCH: 23 pg
MCHC: 40 g/dL; 40%
WBC: 8 x 10^9
Total cholesterol: 245 mg/dL
LDL: 145 mg/dL
HDL: 30 mg/dL
Triglycerides: 210 mg/dL
Winifred is referred for medical nutrition therapy. NFPA indicates a robust female, with excessive fat stores, normal muscular development, and no fluid accumulation. Assess her nutrition status using the data provided.
Nutrition Diagnostic Statement
Altered laboratory values related to disordered eating pattern as evidenced by signs of nutritional anemia and dyslipidemia.

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