Case Study
You have an 80 yo M patient that has end-stage Alzheimer's disease and has recently been diagnosed with severe dysphagia.This patient is getting ready for discharge from the hospital.His height is 5' 9'' and he weighs 162# with no recent changes in weight.
-How many grams of protein per kilogram of body weight does he need?

Question

Quizplus · Accepted Answer

The patient's protein needs should be based on his actual body weight, not his ideal body weight. Therefore, using his actual weight of 162#, we convert to kilograms (kg) by dividing by 2.2 (1kg = 2.2lbs), which gives us 73.6kg. The recommended daily protein intake for an elderly person is 1.0-1.2 g/kg of body weight. Therefore, the patient needs 73.6 x 1.0-1.2 = 73.6-88.3 g of protein per day. Choice B (1.0) is within this range and is therefore the best choice. The patient's protein requirements can be calculated using the protein recommendations for elderly patients with dysphagia, which is 1.0-1.5 grams of protein per kilogram of body weight. Using the patient's weight (162# or ~73.5 kg), we can calculate their protein needs to be between 73.5-110 grams per day. Therefore, the best choice for this patient is B) 1.0 gram of protein per kilogram of body weight.

Case Study You Have an 80 Yo M Patient That Has End-Stage