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Diet in viral hepatitis sheet
Essay frame

Plan, prepare and calculate a diet for a 25-year-old man with acute viral hepatitis.

How to lay out the answer. Follow the frame, then write it in your own words.

  1. 1 · Aim. To plan, prepare and calculate a diet for Mr. V with acute viral hepatitis.
  2. 2 · Principles.
    • High energy (30-35 kcal/kg) and high carbohydrate (60-70%)
    • Adequate protein 1.0-1.2 g/kg for liver-cell regeneration
    • Moderate fat, no fried food; vitamins and fluids
    • 6-8 small meals; no alcohol; safe water
  3. 3 · Nutrient prescription. IBW = (170 − 100) × 0.9 = 63 kg; energy 63 × 35 ≈ 2200 kcal; protein 63 × 1.2 ≈ 75 g; carbohydrate about 330-385 g.
  4. 4 · Foods to include and avoid. Include idli, rice, kanji, dals, toned milk, buttermilk, juices, banana, sago kheer; avoid fried foods, rich curries, pickles and alcohol.
  5. 5 · Sample menu. [Table: Time | Menu | Amount, 8 small meals]
  6. 6 · Calculation. [Table: food group | amount | energy | protein] Total about 2172 kcal and 74 g protein (99% and 99%).
  7. 7 · Result. The diet gives about 2172 kcal and 74 g protein and meets Mr. V's needs.
  8. 8 · Preparation tips. Steam and pressure-cook, little oil, home-made juices with boiled water, small portions every 2-3 hours.

Scoring tip: Give the reason for each principle in one phrase (for example, 'carbohydrate spares protein'); examiners mark the reasons.