Author Question: Determine Mr. McKinley's energy and protein requirements. Explain the rationale for the method you ... (Read 33 times)

shofmannx20 · **on:** Aug 21, 2018

Determine Mr. McKinley's energy and protein requirements. Explain the rationale for the method you used to calculate these requirements.

What will be an ideal response?

Question 2

Define non-alcoholic fatty liver disease and non-alcoholic steatohepatitis.

What will be an ideal response?

frankwu0507 · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

EER: 1660-1886 kcal (22-25 kcal/kg IBW)
EPR: 151-189 g (2.0-2.5 g/kg IBW)
Permissive underfeeding is suggested for patients with a BMI > 30, which is consistent with Mr. McKinley. Possible benefits of underfeeding include lower omega-6 fatty acid intake to reduce substrate for proinflammatory mediator synthesis, limited carbohydrate intake resulting in reduced hyperglycemia, and decreased hypermetabolism resulting in reduced CO2 production.

Answer to Question 2

Non-alcoholic fatty liver disease (NAFLD) - refers to the wide spectrum of liver disease ranging from simply fatty liver (steatosis), to non-alcoholic steatohepatitis, to cirrhosis.
Non-alcoholic steatohepatitis (NASH) - fatty liver with inflammation and scarring/damage to the hepatic tissue; similar to alcoholic fatty liver disease, but little or no alcohol is consumed in these patients; etiology is from another source (hepatotoxin)