Question

please complete questions 1-4

Case Study - Hepatitis C Virus (HCV) Mr. Collins is a 55-year-old physician's assistant with a history of chronic hepatitis C Past history was 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, 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. Points as listed, be detailed and specific in your answers. 1. What are the risks or complications of HCV?-4 points 2. What advice would you give Mr. Collins about drinking alcohol? Why? - 4 points 3. What dietary recommendations should be given to Mr. Collins, consider general needs of protein and fat? Also, consider interventions that will help him meet his needs. - 6 points 4. Suppose Mr. Collins condition worsens and develops steatorrhea. Based on the Nutrition Therapy recommendations in the text what are his kcal, protein and fat needs? (show all calculations, get totals for this specific patient)- 6 points a. energy (kcals/day) b. protein (g/kg) c. total fat % of kcals from fat)

Answer 1

Risks of HCV-:

1- having alcohol

2- HIV

3- hepatitis B

4- type 2 diabetes

complications of HCV:-

1- liver cirrhosis

2- liver cancer

3- liver failure

4- insulin resistance

5- gall stones