is a 52-year-old construction worker who was recently diagnosed with cirrhosis.The dietitian estimates his RMR to be 2145 kcalories per day.With the added stress of cirrhosis, his kcalorie needs would increase to a minimum of _____ kcal.

Question

Quizplus · Accepted Answer

Patients with cirrhosis require additional kcalories to meet the energy demands for increased metabolism, inflammation, and healing. A minimum of 10-30% increase in kcalorie needs is recommended, which in this case would be an additional 214.5-643.5 kcalories per day. Adding this to the estimated RMR of 2145 kcalories, the minimum kcalorie needs for this patient would be 2359.5-2788.5 kcalories per day. The closest option to this range is A) 2574 kcal. The question states that the patient's RMR is 2145 kcalories per day. However, with the added stress of cirrhosis, his calorie needs would increase. A common range for estimating calorie needs in cirrhosis is 30-40 kcal/kg of body weight per day. Assuming a body weight of 70 kg (based on the recommended weight for a male of his age and occupation), his calorie needs would be between 2100-2800 kcalories per day. To be on the conservative side, we can take the minimum of this range, which is 2100 kcalories per day, and add it to his RMR of 2145 kcalories per day to get an estimated total calorie needs of 4245 kcalories per day. However, this may be too high for some patients with cirrhosis, so we can aim for the middle of the range, which would be 2457 kcalories per day. Therefore, the best answer choice is A) 2574 kcalories per day, which is a reasonable estimate for this patient's calorie needs.

Is a 52-Year-Old Construction Worker Who Was Recently Diagnosed with Cirrhosis.The