remarkable for a needle stick injury on the job that occurred two years ago. Fol

Question

remarkable for a needle stick injury on the job that occurred two years ago. Following the injury, he initially experienced sporadic episodes of mild flu-like symptoms with fever, chills, and diaphoresis. Over the past six months, his complaints increased to include generalized muscle weakness, fatigue, and weight loss. Mr. Collins is 5'9" tall and weighs 150 pounds with a usual weight of 162. On examination he was noted to have hepatomegaly and be markedly pale with icteric (jaundiced) conjunctiva and skin Mr. Collins complains of a poor appetite. He generally eats two meals a day and prefers meat, potatoes, salted snacks, and an occasional beer. He dislikes sweets, and some vegetables and fruits. He states that he often has nausea and feels bloated after eating, but is unable to pass the gas. He feels most comfortable when his stomach is empty. 1. Suppose Mr. Collins develops steatorrhea. Recommend daily energy (based on his EER light activity), protein, and total fat intakes for him

Explanation / Answer

*Protien requirement-according to WHO RECOMMENDATIONS-lower protien intake to 56 gm/day.
according to CDC 50-177 gm/day (10-35% of daily caloric intake).
*Energy requirement-2,070 calories /day to maintain weight.
TO GAIN 1lb-2,570 calories/day,
to gain 2lb -3,070 calories/day.
*Fat intake requirement-47-82 gm ,saturated fat allowance (10%) is <24gm,
as person is having steatorrhea, fat intake can be increased (to gain 2 lb/week) to 70-122 gm saturated fat allowance is <35gm

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