Nutrition:Diet order: no added salt/low saturated fat; low cholesterolHistory: Appetite good. He and his wife have been trying to change some things in his diet. Wifeindicates that she has been using "corn oil" instead of butter and has tried not to fry foods as often.Typical dietary intake:Breakfast:Coffee with milk and sugarMidmorning snack: Egg and cheese on English muffin from work cafeteria; 8 oz. orange juice,2-3 c coffee with milk and sugarLunch:Dinner:Snack:Leftovers from home; if eats in cafeteria: soup, salad, or sandwich.Had tomato soup and grilled cheese yesterday.Rice-1 c; black beans-1 c; roast pork with tomato and peppers-approx. 6 oz; cornbread-2 squares, each 2" wideTypically has chips or popcorn and 1-2 beersFood allergies/intolerances/aversions: NonePrevious nutrition therapy? NoFood purchase/preparation: SpouseVit/min intake: NoneCode: FULLIsolation: NoneAllergies: NKAPt. Location: RM 704Code: FULLPhysician: RJ WarrenIsolation: NoneAdmit Date: 12/1Garcia, Jose, Male, 01 y.o.Allergies: NKAPt. Location: RM 704Physician: RJ WarrenAdmit Date: 12/1Extremities: Normal range of motion in all four extremities. No cyanosis or clubbing orperipheral edema.Neurological: Conscious, alert, and oriented. Cranial nerves II through XII are intact grossly andsymmetrically. No focal neurologic deficit.Skin: Skin is warm and dry. Mild diaphoresis. No rashes or ulcerations noted.Vital Signs: Temp: 98.6°FOrders:BP: 140/99Pulse: 94Height: 5'9"Resp rate: 23Weight: 215 lbsED: Oxygen 2 liters per NC to maintain O₂ SAT 95%; nitroglycerin 0.4 mg sublingual;aspirin 81 mg x 4 (324 mg total), to be chewedHeparin 70 units/kg bolus IVP (max dose 7500 units)Clopidogrel 600 mg oralAdmission to CCU:Early risk stratification: high riskActivity: bed restCardiac monitorVital signs q4h x 24 hours then q8hDiet: no added salt/low saturated fat; low cholesterolCall house officer for T101, SBP 190 mm Hg or SBP 120 bpm orHR 30 or RR

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Nutrition:Diet order: no added salt/low saturated fat; low cholesterolHistory: Appetite good. He and his wife have been trying to change some things in his diet. Wifeindicates that she has been using "corn oil" instead of butter and has tried not to fry foods as often.Typical dietary intake:Breakfast:Coffee with milk and sugarMidmorning snack: Egg and cheese on English muffin from work cafeteria; 8 oz. orange juice,2-3 c coffee with milk and sugarLunch:Dinner:Snack:Leftovers from home; if eats in cafeteria: soup, salad, or sandwich.Had tomato soup and grilled cheese yesterday.Rice-1 c; black beans-1 c; roast pork with tomato and peppers-approx. 6 oz; cornbread-2 squares, each 2" wideTypically has chips or popcorn and 1-2 beersFood allergies/intolerances/aversions: NonePrevious nutrition therapy? NoFood purchase/preparation: SpouseVit/min intake: NoneCode: FULLIsolation: NoneAllergies: NKAPt. Location: RM 704Code: FULLPhysician: RJ WarrenIsolation: NoneAdmit Date: 12/1Garcia, Jose, Male, 01 y.o.Allergies: NKAPt. Location: RM 704Physician: RJ WarrenAdmit Date: 12/1Extremities: Normal range of motion in all four extremities. No cyanosis or clubbing orperipheral edema.Neurological: Conscious, alert, and oriented. Cranial nerves II through XII are intact grossly andsymmetrically. No focal neurologic deficit.Skin: Skin is warm and dry. Mild diaphoresis. No rashes or ulcerations noted.Vital Signs: Temp: 98.6°FOrders:BP: 140/99Pulse: 94Height: 5'9"Resp rate: 23Weight: 215 lbsED: Oxygen 2 liters per NC to maintain O₂ SAT >95%; nitroglycerin 0.4 mg sublingual;aspirin 81 mg x 4 (324 mg total), to be chewedHeparin 70 units/kg bolus IVP (max dose 7500 units)Clopidogrel 600 mg oralAdmission to CCU:Early risk stratification: high riskActivity: bed restCardiac monitorVital signs q4h x 24 hours then q8hDiet: no added salt/low saturated fat; low cholesterolCall house officer for T>101, SBP >190 mm Hg or SBP <90 mm Hg, HR >120 bpm orHR <50 bpm, RR >30 or RR <10Guaiac ALL stools while on heparin, LMWH, Ilb/illa inhibitorO₂: NC continue 2 L/minPlease call house officer for O₂ SAT <90%Order for respiratory care O₂ SAT check q8hEKG and repeat for recurrent chest painTroponin T/Troponin I: now and every 6 hrs x 8 timesCK-MB: now and every 6 hrs x 8 timesCBC, lipid profile, PTT, Chemistry (7) panel in AM-fastingAtenolol 75 mg/dNitroglycerin 1/150 (0.4 mg) 1 TAB SL q 5 min x 3 prn chest pain; hold if: SBP <100 mm HgPRN: Docusate sodium 100 mg po twice daily; aluminum-magnesium hydroxide 15 mL every 6 hfor indigestion; oxazepam 15-30 mg po every hs prn insomnia; acetaminophen 650 mg po every4 h for headache; magnesium hydroxide 30 mL po daily for constipation; magnesium sulfate slidingscale IV qd; call house officer if serum Mg <1.2Hold order for creatinine >1.9If serum Mg <1.4, give 5 g MgSO, IV; if serum Mg <1.6, give 4 g MgSO, IV; if serum Mg <1.8,give 3 g MgSO, IV; if serum Mg <2.0, give 2 g MgSO, IVPatient Summary: José Garcia is a 61-year-old male admitted through the emer-gency department with diagnosis of STEMI and transferred directly to Cath lab; s/pemergency coronary angiography with angioplasty of the infarct-related artery.History:Onset of disease: 61-y.o. male who noted the sudden onset of severe precor-dial pain on the way home from work. The pain is described as pressure-likepain radiating to the jaw and left arm. The patient has noted an episode of emesis and nausea. Hedenies palpitations or syncope. He denies prior history of pain. He admits to smoking cigarettes(1 pack/day for 40 years). He denies hypertension, diabetes, or high cholesterol. He denies SOB.Medical history: Not significant before this admissionSurgical history: Surgery; cholecystectomy 10 years ago, appendectomy 30 years agoMedications at home: NoneAllergies: Sulfa drugsTobacco use: 40-year history, 1 pack/dayAlcohol use: 1-2 beers per dayFamily history: What? CAD. Who? Father-MI age 59.Demographics:Marital status: Married, Spouse name: Alicia Garcia, 59 y.o.Number of children: Daughter and two grandchildren live in the homeYears education: AA degreeLanguage: English, SpanishOccupation: IT network specialistHours of work: 40/wkHousehold members: 5Ethnicity: Mexican AmericanReligious affiliation: CatholicMD Progress Note:General: Well-developed, overweight male in acute distress from chest pain.HEENT: Head: normocephalic and atraumaticEyes: EOMI, fundoscopic exam WNL. No evidence of atherosclerosis, diabetic retinopathy,or early hypertensive changes.Mouth: oral mucosa pink, dentition in good repairThroat: pharynx pink without exudatesNeck: soft, supple, no palpable masses. No lymphadenopathy.Cardiac: Isolated posterior MI with ST depression in V2-3. No murmurs, clicks, or rubs.Pulmonary/Chest: Lungs are clear to auscultation bilaterally.Abdominal: Abdomen soft, nontender, with normoactive bowel sounds in all four quadrants.No masses, no organomegaly. No guarding, rebound, or CVA tenderness. RLQ scar and midlinesuprapubic scar. Nutrition Assessment - Anthropometrics8. What is the healthy weight range for a man of Mr.Garcia's height? Show your calculations.9. Would you recommend that Mr. Garcia lose weight?Include a discussion of his BMI in your response.

Accepted Answer

In light of Mr. Garcia recent STEMI diagnosis. It evaluating his Body Mass Index is vital for…

Nutrition Assessment - Anthropometrics 8. What is the healthy weight range for a man of Mr. Garcia's height? Show your calculations. 9. Would you recommend that Mr. Garcia lose weight? Include a discussion of his BMI in your response.