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Question - Maria is a 62-year-old female with a 12-year history of alcoholism. She started drinking when her husband passed away to cope with her loss. Maria has been hospitalized with advanced cirrhosis including ascites and hyperglycemia. Her current height and weight are 5 ft 4 in. and 167 lb. Her dry weight is estimated to be 125 lb.
1. What method would you use to estimate Maria's energy needs?
2. What are Maria's estimated energy needs?
3. What are Maria's estimated protein needs?
4. What are Maria's estimated carbohydrate needs? Do any special modifications need to be made to her carbohydrate intake?
5. If fat malabsorption is present, what additional dietary modifications need to be made?
6. What amount of sodium would be appropriate for Maria on a daily basis and why?
7. Maria has been consuming less than 25% of her meals. What suggestions do you have to help her increase her food intake?
8. Under what conditions would Maria benefit from enteral or parenteral nutrition support?
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