You are caring for a client with chronic pancreatitis. When reviewing the client's chart, you notice that his dietary orders specify that he should receive enteral nutritional supplements that have a polymeric formula
You question the order because: 1. Polymeric formulas contain nutrients which are partially digested and easy to absorb.
2. Clients with chronic pancreatitis require formulas with predigested macronutrients.
3. Modular formulas would better address his full nutritional requirements.
4. Isotonic formulas can cause diarrhea and should be avoided.
2
Rationale: Polymeric formulas contain macronutrients that are intact and require the presence of digestive enzymes to be fully digested. Clients with chronic pancreatitis may have malabsorption problems and benefit from formulas that contain predigested nutrients. Modular formulas are not designed to fully meet daily nutritional requirements. Isotonic formulas are less likely to cause diarrhea than hypertonic formulas.
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