Case Study
RD is a 29 yo F admitted with intractable diarrhea and abdominal pain.She has a PMH of Crohn's disease and has had two previous resections of the small bowel.She frequently has pain in the RLQ after eating.She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming below her caloric needs.She currently takes Asacol and Lomotil to manage the symptoms of Crohn's disease.After undergoing a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered.Emergency sgy was performed to remove the obstruction and a resection was done with the remaining intestine.RD's gastroenterologist recommends bowel rest and expects her to have a full recovery.
HT: 5'4" WT: 110# UBW: 122#
Diet: NPO Meds: Asacol, Lomotil
Alb.2.7 Pre-Alb.17
Na: 138 Cl: 98 BUN: 5
Glucose: 80
K: 3.6 CO₂: 25 Cr: 0.8
-Due to RD's weight loss, what kcalorie intake is the most appropriate?

Question

Case Study
RD is a 29 yo F admitted with intractable diarrhea and abdominal pain.She has a PMH of Crohn's disease and has had two previous resections of the small bowel.She frequently has pain in the RLQ after eating.She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming below her caloric needs.She currently takes Asacol and Lomotil to manage the symptoms of Crohn's disease.After undergoing a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered.Emergency sgy was performed to remove the obstruction and a resection was done with the remaining intestine.RD's gastroenterologist recommends bowel rest and expects her to have a full recovery.
HT: 5'4"      WT: 110#        UBW: 122#
Diet: NPO      Meds: Asacol, Lomotil
Alb.2.7          Pre-Alb.17
Na: 138        Cl: 98      BUN: 5
Glucose: 80
K: 3.6         CO₂: 25      Cr: 0.8
-Due to RD's weight loss, what kcalorie intake is the most appropriate?

Quizplus · Accepted Answer

RD has been consuming below her caloric needs due to fear of pain, and has also undergone a surgical resection of the small intestine, which may affect her ability to absorb nutrients. Therefore, a higher calorie intake of 1800 kcal/day would be more appropriate for her to support her recovery and prevent further weight loss. Option A (1300 kcal) and B (1500 kcal) may not provide enough calories for her needs, and option D (2600 kcal) is too high and not necessary at this time. RD has had intractable diarrhea and abdominal pain due to Crohn's disease resulting in two resections of the small bowel. Additionally, an obstruction resulting from stricture in the terminal ileum was discovered during a recent colonoscopy that required surgical intervention. As a result, RD has been NPO and has not been able to consume adequate calories. Her weight is 110# and her UBW is 122#. Based on this information, it is appropriate for RD to consume 1800 kcal to promote weight gain and facilitate the healing process.

Case Study RD Is a 29 Yo F Admitted with Intractable Diarrhea