SB is a 60-year-old retired sales associate.SB c/o abdominal pain, often severe, nausea, and vomiting.She then began to experience back pain and reports seeing a little oil in her stool.SB says that she is unable to eat anything because she just vomits it back up.Because of SB's persistent symptoms, she checked into the hospital and an ultrasound and CT scan was administered.SB was diagnosed with severe acute pancreatitis.SB was NPO until symptoms ceased and was given Demerol.By day 5, SB's N/V had not yet been alleviated.SB was scheduled for a nasogastric suctioning. Ht: 5'5" Wt: 145# UBW: 175# Dx: severe acute pancreatitis PMH: cholelithiasis s/p shock-wave lithotripsy Labs:

Ser Ca: 5 mg/dL Amy: 122 U/L Alb: 3.0 g/dL Hct: 34%

Mg: 1.4 mEq/L Lip: 65 U/L Transferrin: 210 mg/dL Hb: 12.3

TG: 387 mg/dL

Meds: Demerol Diet: NPO -What type of formula would you choose in order to minimally stimulate the pancreas?

Question

SB is a 60-year-old retired sales associate.SB c/o abdominal pain, often severe, nausea, and vomiting.She then began to experience back pain and reports seeing a little oil in her stool.SB says that she is unable to eat anything because she just vomits it back up.Because of SB's persistent symptoms, she checked into the hospital and an ultrasound and CT scan was administered.SB was diagnosed with severe acute pancreatitis.SB was NPO until symptoms ceased and was given Demerol.By day 5, SB's N/V had not yet been alleviated.SB was scheduled for a nasogastric suctioning.
Ht: 5'5" Wt: 145# UBW: 175#
Dx: severe acute pancreatitis
PMH: cholelithiasis s/p shock-wave lithotripsy
Labs:

Ser Ca: 5 mg/dL	Amy: 122 U/L	Alb: 3.0 g/dL	Hct: 34%
Mg: 1.4 mEq/L	Lip: 65 U/L	Transferrin: 210 mg/dL	Hb: 12.3
TG: 387 mg/dL

Meds: Demerol Diet: NPO -What type of formula would you choose in order to minimally stimulate the pancreas?

Quizplus · Accepted Answer

A fat-free elemental formula would be the best choice to minimally stimulate the pancreas. This type of formula contains pre-digested nutrients in their simplest form, which requires minimal stimulation from pancreatic enzymes for absorption. This reduces the workload of the pancreas, allowing it to rest and heal during the acute phase of pancreatitis. MCT oil, intact, and high-protein formulas would all require some degree of pancreatic enzyme stimulation for digestion and absorption, which could exacerbate SB's symptoms. In severe acute pancreatitis, the pancreas needs to rest in order to recover. Therefore, a fat-free elemental formula would be the best choice as it minimally stimulates the pancreas and allows for bowel rest. MCT oil is not recommended as it is a medium-chain triglyceride and can still stimulate the pancreas. Intact and high-protein formulas can also stimulate the pancreas and are not recommended for this patient.

SB Is a 60-Year-Old Retired Sales Associate