If this patient's acute pancreatitis resolves, what will be the ...

[serike]

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?

[xoxo123]

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]

TYSM

[Missbam101]

Excellent