Author Question: If this patient's acute pancreatitis resolves, what will be the recommendations for him regarding ... (Read 124 times)

serike · **on:** Aug 21, 2018

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 · **Reply #1 on:** Aug 21, 2018

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