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Author Question: If this patient's acute pancreatitis resolves, what will be the recommendations for him regarding ... (Read 117 times)

serike

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If this patient's acute pancreatitis resolves, what will be the recommendations for him regarding nutrition and his alcohol intake when he is discharged?
 
  What will be an ideal response?

Question 2

Estimate Mr. Seyer's energy and protein requirements based on his current weight.
 
  What will be an ideal response?



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xoxo123

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Answer to Question 1

 Abstention from alcohol
 Adequate calories and protein for recovery.
 Low-fat diet initially until long term pancreatic function is determined and/or tolerance is assessed.
 Pancreatic enzyme replacement30,000 units of lipase activity per meal and 20,000 units with snacks if long-term pancreatitis function is compromised
 Fat-soluble vitamin supplementation
 Water-soluble vitamins (especially thiamin, riboflavin, niacin)

Answer to Question 2

Energy Requirements (30-35 kcal/day for weight gain):
30-35 kcal/kg x 90 kg = 2700-3150 kcal/day

Because there is evidence of some muscle wasting, protein needs will be greater:
1.2-1.5 g protein / kg body weight = 1.2-1.5 x 90 kg = 108-135 g




serike

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Reply 2 on: Aug 21, 2018
Excellent


billybob123

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

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