3 nutrition support in the surgery patient stephen f lowry objectives 1 to understand the decision making process for initiating maintaining and terminating special ized nutritional support sns in surgical ...
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...Nutrition support in the surgery patient stephen f lowry objectives to understand decision making process for initiating maintaining and terminating special ized nutritional sns surgical patients calculating requirements gaining access monitoring complications during cases case a year old man with obstructing esophageal cancer presents consideration of therapy he has lost pounds normal body weight over past months is unable swallow anything except liquids near complete loss appetite no other history signicance takes medications only hyperten sion his appearance gaunt obvious fat muscle wasting there mild peripheral edema remainder physi cal exam unremarkable workup suggests that candidate resection albumin g l hemoglobin lwith microcytic indices all determinations are apreviously healthy woman restrained driver head on collision she diagnosed intraabdominal injuries undergoes emergency laparotomy at operation crush injury pancreas duodenum repaired as mesenteric tear grade ii liver lac...