Determine rapid nutrition screen for hospitalized patients

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Assignment:

A 55 year old male patient is admitted to hospital with chronic incapacitating fatigue, recent unintentional weight loss, nausea and low BP (90/52) and investigated for cancer. His CBC indicates Hb: 8g/dL; Hct: 27% Serum Transferrin: 175 mg/dL; MCV: 90fL; serum EP: elevated; serum ferritin: slightly high; serum folate: low; Hcy: elevated; MMA: normal. Patient record indicates a height: 5 feet 10 inches, usual weight: 185 lbs; current weight; 148 lbs. Serum albumin: 2.2 g/dL; and tricep skinfold: 10mm; and DH: 1mm induration.

QUESTIONS:

1. Determine using the Rapid Nutrition Screen for Hospitalized Patients (show your assessment values), what this patient's score is and what it actually signifies and what next step needs to be taken.

2. Determine, how this value compares to the PNI and its conclusions (Show PNI calculations).

3. Determine the kind of anemia(s) (if any) taking place (show your reasoning) and identify the next step to be taken.

Reference no: EM133617256

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