Name at least three concerns you have about John Doe's nutritional status

What will be an ideal response?


• He has malnutrition from alcoholism.
• People with hepatic failure or compromise have impaired digestion and absorption related to
pancreatic insufficiency and decreased bile acid production. You would want to monitor his blood
glucose because of the possibility of pancreatic compromise.
• Ethanol metabolites interfere with the production of folate, thiamine, magnesium, and
phosphorus.
• Alcoholism degrades the intestinal tract, thereby leading to impaired absorption of vitamin B12,
thiamine, folic acid, zinc, and amino acids.
• His lethargy will make oral feedings slow and difficult; he will need additional nutrients by NGT or
total parenteral nutrition (TPN) until he is able to eat food.

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