ML is 55-year-old white male with prior medical hx of hyperlipidemia and DM. His mother died at the age of 60 from colon cancer. During the last 4 weeks he has had symptoms of abdominal pain, he feels weak and fatigued, more and more often he feels his back ache, and he has noticed darkening of his urine and lighter-in-color stools. Also, he reports having episodes of nausea and vomiting and has
lost his appetite. ML has been losing weight during the last 5 weeks. All these symptoms led him to his doctor, who ordered a laboratory analysis. The doctor ordered a computed tomography (CT) and an ultrasound. To confirm diagnosis a biopsy was also performed. ML was diagnosed with ductal adenocarcinoma of the head of the pancreas – Stage III. Height: 5'7" Weight: 198# UBW: 220# The doctor ordered the administration of chemotherapy with 5-Fluorouracil (5-FU) and improvement of his nutritional condition before surgery (Whipple procedure). Other meds prescribed: Zofran, Duragesic, pancrealipase, regular insulin. Diet Order: NPO If as a result of the chemotherapy, ML develops mucositis, what will the registered dietitian recommend?
a. additional lab work
b. oral arginine
c. drink at least two quarts a day of water
d. rinse with commercial mouthwash
c
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