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 -SB has now progressed to chronic pancreatitis and is malabsorbing fat The registered dietitian has decided to initiate PN In his/her calculations for the PN prescription, how much fat should the dietitian recommend?

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 -SB has now progressed to chronic pancreatitis and is malabsorbing fat The registered dietitian has decided to initiate PN In his/her calculations for the PN prescription, how much fat should the dietitian recommend?

Quizplus · Accepted Answer

In cases of pancreatitis, especially with fat malabsorption, it's important to limit fat intake. Typically, 15-30% of total calories from fat is recommended to avoid exacerbating symptoms.

SB Is a 60-Year-Old Retired Sales Associate