Case Study JB Is a 53 Yo Male Who Was Recently Divorced.He

Case Study
JB is a 53 yo male who was recently divorced.He has experienced periods of depression and decreased appetite.Family reports history of heavy drinking habits and 15# weight lost.He was previously diagnosed with cirrhosis and portal hypertension and paracentesis and TIPS procedures were performed.Mr.JB's condition seems to have worsened; he c/o stomach pains, nausea, and vomiting at times.His abdomen is sore to touch and feels swollen.Mr.JB has developed ascites and pedal edema; his urinary output has decreased and he continues to lose weight.Mr.JB also c/o pain when swallowing food.Because of JB's persistent symptoms, he's been admitted to the hospital.
A referral to the SLP for a MBS was also ordered and resulted in dysphagia, pureed diet recommended.By day 2 Mr.JB still c/o of nausea and no po intake has been reported.The MD rx'd dietary consult: RD to assess patient and recommend alternate means of nutrition support, currently NPO.
Ht: 5'11''      Wt: 145#       UBW: 163#
Dx: End-stage liver cirrhosis, dysphagia
PMH: alcoholic cirrhosis, portal hypertension
Labs:

Na: 134	Cl: 101	BUN: 4	Alb: 2.3	TG: 305	Transferrin: 101	NH4: 53
Glu: 139	AST: 45	ALT 48	Alk Phos: 40	Billirubin: 2.1
K: 5.2	CO2	Cr: 1.8	H/H: 11/35

Diet: NPO
Meds: Neomycin, Aldactone, Lasix, Reglan
-Following the paracentesis, the registered dietitian might add additional _____ to his/her nutrition prescription

A) vitamins
B) fluids
C) protein
D) minerals

Correct Answer:

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