DACBN case studies
DACBN · Put your knowledge to work in context.
The DACBN - Diplomate, American Clinical Board of Nutrition - is the credential held by certificants of the American Clinical Board of Nutrition (ACBN), a certifying agency in clinical nutrition founded in 1986. ACBN describes itself as the only interdisciplinary diplomate program for doctoral-level providers in clinical nutrition certified by the National Commission for Certifying Agencies (NCCA), which has accredited it since 2005; the organization is a 501c3 non-profit. The DACBN case studies are 5 cases and about 4,157 words.
1Co-signing an Immediate 25 kcal/kg Feeding Order in a Severely Malnourished Alcoholic Patient
R, 62, is brought to the emergency department after his landlord found him confused and unable to care for himself. He has drunk roughly one-fifth of vodka daily for 20 years, has eaten one small meal every other day for the past month, and has lost 7 kg in three months.
794 words, about 4 min2A Request for "Protein Restriction" in Advanced Diabetic Kidney Disease With Unintended Weight Loss
L, 68, is referred by her nephrologist for "protein restriction counseling." Her eGFR is 23 mL/min/1.73 m²; she has had type 2 diabetes for 19 years (HbA1c 9.1%) and hypertension. Weight is 82 kg, down from 90 kg over 6 months; height 160 cm.
779 words, about 4 min3High-Output Jejunostomy After Massive Small Bowel Resection: Why 1,900 kcal Is Not Enough
K, 45, is three weeks out from resection of all but 90 cm of jejunum for superior mesenteric artery thrombosis. The ileum, ileocecal valve and entire colon were removed, and he has an end jejunostomy.
834 words, about 4 min4Progressive Peripheral Neuropathy Four Years After Roux-en-Y Gastric Bypass
P, 38, had Roux-en-Y gastric bypass four years ago; her BMI has fallen from 47 to 26 kg/m². For three months she has had progressive symmetric numbness and burning in both feet, unsteadiness in the dark, fatigue and diffuse hair loss.
887 words, about 4 min5Grade 2 Encephalopathy and Ascites: Responding to a "Low Protein" Order in Cirrhosis
T, 58, has alcohol-related cirrhosis and is admitted with grade 2 hepatic encephalopathy. He has tense ascites and peripheral edema.
863 words, about 4 min