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Esophageal Cancer with Enteral Nutrition

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Submitted By ielizabethmorris
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Case #17: Esophageal Cancer with Enteral Nutrition

1. This client has several risk factors for esophageal cancer including smoking, age, sex, GERD, alcohol consumption, excess body weight, and Barrett’s esophagus. 2. IBW = 106 + 48 = 154 lbs BMI = 25 kg/m2 %IBW = 165 lbs/154 lbs x 100 = 107% %UBW = (185-165)/185 x 100 = 11% This client has had an 11% weight loss which puts him at risk for complications. Calories: 75 kg x 30 = 2,250 kcal per day Protein: 75 kg x 1.5 g protein/kg = 112.5 g of protein per day 3. The chemotherapeutic agents he will be receiving are likely to cause nausea, vomiting, diarrhea and poor appetite. Receiving radiation is likely to cause inflammation of the mucous of the esophagus. 4. I do not think this client is going to be capable of sustaining ample nutrition while undergoing radiation and taking the prescribed medications. Eating is only going to get more uncomfortable, and his appetite is also going to...

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