HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off."
-Which of the following will the registered dietitian also recommend based on the above?

Question

Quizplus · Accepted Answer

Cystic fibrosis affects the pancreas, causing it to produce thick mucus that can block the ducts leading to the small intestine. This makes it difficult for the body to digest and absorb nutrients, particularly fat. Taking pancreatic enzymes with meals helps break down food and absorb nutrients. Therefore, the registered dietitian would recommend the patient to take pancreatic enzymes with each meal. Restricting carbohydrate intake is not necessary as carbohydrates are a necessary macronutrient for energy. Set meal planning can be helpful for some patients but may not be necessary for all. Omega-3 fatty acids can be beneficial for inflammation but are not the only dietary recommendation that should be made for a patient with cystic fibrosis. Pancreatic enzymes are necessary for individuals with cystic fibrosis to assist in digestion and absorption of nutrients. HD's symptoms of vomiting and dehydration suggest that he may not be digesting and absorbing nutrients well. Therefore, the registered dietitian should recommend pancreatic enzymes to improve nutrient absorption. Restricting carbohydrate intake and only incorporating omega-3 fatty acids are not appropriate recommendations for this patient without further assessment. Set meal planning may be beneficial, but addressing HD's digestive issues should take priority.

HD Is a 21 Yo M Who Has Cystic Fibrosis