?

JB is a 53-year-old male who has recently divorced. He has experienced periods of depression and decreased appetite. His family reports a history of heavy drinking habits and a 15 kg weight loss. He was previously diagnosed with cirrhosis and portal hypertension. Paracentesis and TIPS procedures were performed. JB's condition seems to have worsened; he complains of stomach pains, nausea, and vomiting at times. His abdomen is sore to touch and feels swollen. JB has developed ascites and pedal edema. His urinary output has decreased, and he continues to lose weight. JB also complains of pain when swallowing food. Because of JB's persistent symptoms, he's been admitted to a hospital.
A referral to the SLP for an MBS was also ordered and resulted in dysphagia for which pureed diet was recommended. On day 2, JB still complains of nausea and no per os intake has been reported. The MD prescribed a dietary consultation. An RD is required to assess the patient and recommend alternate means of nutrition support, currently NPO.
Ht: 5'11"            Wt: 145            # UBW: 163#
Dx: End-stage liver cirrhosis, dysphagiaPMH: alcoholic cirrhosis, portal hypertension
 
Labs:Na: 134            Cl: 101            BUN: 4            Alb: 2.3            TG: 305            Transferrin: 101            NH4:
53                    Glu: 139          AST: 45           ALT 48            Alk Phos: 40      Bilirubin: 2.1K: 5.2              CO2: 25           Cr: 1.8             H/H: 11/35
 
Diet: NPOMeds: Neomycin, Aldactone, Lasix, Reglan
 
Following the paracentesis, the nutritionist might recommend what component to the nutrition prescription?

A. vitamin B12
B. protein
C. hypertonic fluid
D. vitamin D
E. potassium


Answer: B

Nutritional Science

You might also like to view...

The most common body composition assessments used in ?tness centers are the BMI, the skinfold test, and the ________

A) waist-to-hip ratio B) hydrostatic weighing C) BIA D) DXA

Nutritional Science

What is the function of parathyroid hormone (PTH)?

A) It stimulates the kidneys to increase blood pressure. B) It activates the thirst mechanism and triggers the release of ADH from the pituitary. C) It stimulates the kidneys to convert vitamin D to calcitriol. D) It assists in the removal of CO2 from the blood.

Nutritional Science

Diverticulitis occurs

A. when diverticula become infected. B. when insoluble fiber intake causes bloating. C. when the colon is filled with water. D. when transit time is reduced (quickened).

Nutritional Science

A food that provides only 20 percent of a nutrient's Daily Value (DV) is considered low in that nutrient

Indicate whether the statement is true or false

Nutritional Science