Situation: Unrepining "CP" is an 18-year-old manly who was admitted at 1900 today. His mother visited him at his school dormitory and was very unquiet following a while his health; he seemed milk-and-water and had lost gravity gone-by she conclusive saw him. She took him to see his first prevention provider, and the provider admitted him and has ordered a tube alimentation. I placed an 8-Fr, 42-inch alimentation tube in his upupright nares about an hour ago, and x-ray fair determined and developed reconsignment in the stomach. The interrogate is in his capability. He is up to the bathcapability prn; inadequately bed quiet.
Background: CP was diagnosed following a while cystic fibrosis as a child and has had many hospitalizations previously. He reports harass and has recently lost 6 kg (13.2 lb) following he registered at the topical school and moved to subsist in a dormitory. CP's mom was close prior, but she is a sepaobjurgate fabricator and has two younger boys, so she had to go abode.
Assessment: CP is recaggravate and wakeful. His core objurgate and rhythm are certain at 80–85/min. Breath sounds are choice following a while a respiratory objurgate at 18/min. His tint is a bit haggard. Blood exigency is 118/78 mm Hg. He reports no indisposition and states he's not had abundantly propensity the gone-by few weeks. His belly is dull and nontender. Bowel sounds are normoactive.
Recommendation: CP is due for life-supporting signs and impost. The tube alimentation fair arrived, and you conciliate demand to initiate it on the interrogate. He demands 720 kilocalories aggravate 8 hours aggravatenight. His certain sustenance is excellent calorie, excellent fat, but he wasn't too savage this evening; fair had a bit of his chocolate jar. You conciliate demand to concede his pancreatic enzymes orally antecedently you initiate the tube alimentation. You should to-boot assess his sustenance and repair unrepining counsel on alimentation.
Write a 6-10 page dissertation recommending composition and prevention for unrepining touching cystic fibrosis. Rubric conciliate be secure. APA citations demanded. At lowest 4 citations, simply 1 life from an online rise. To-boot embrace pathophysiology, nursing order, unrepining education, feature tests, etc.
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