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

question 17

Multiple Choice

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
-How would you estimate RD's protein needs?

• A)0.8-1.0 g/kg
• B)1.0-1.25 g/kg
• C)1.2-1.5 g/kg
• D)1.5-1.75 g/kg

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Definitions:

Teotihuacán

An ancient Mesoamerican city located in what is now Mexico, famous for its vast Pyramid of the Sun and Pyramid of the Moon.

Hellenistic

Relating to the period of ancient Greek history, art, and culture from the death of Alexander the Great in 323 BC to the establishment of Roman supremacy in 31 BC, characterized by the spread of Greek culture and influence.

Astronomical Phenomena

Events or observable occurrences in the night sky or space, including eclipses, meteor showers, and planetary alignments.

Teotihuacán

An ancient Mesoamerican city known for its vast size, monumental architecture, including the Pyramid of the Sun and the Pyramid of the Moon.