2. Activity:
PatientYeomra is a 45-year-old male patient admitteddue to vomitingand diarrhea. Initially,hisdiet
wasBRAT diet(Banana, Rice,Apple,Tea) since,he is on 4th
day of admissionhis attendingphysician
orderedhim a Dietary Prescriptionof 2, 240 = CHO 336 g CHON 84 g Fat 63 g. Determine the value of
CHO CHON and Fat thendistribute accordingly in Breakfast, Lunch and Dinner with AM PM MN snack.
(50PTS)
FOOD
EXCHANGES
No of
Exchange
s
CHO
g
CHON
g
FAT
g
ENERGY kcal
Veg 4 12 4 - 64
Fruits 4 40 - - 160
Milk Whole 1 12 8 10 170
Low Fat
Non Fat:
Skim;Fat free
Rice A: (Low
Protein)
2 46 0 - 184
Rice B:
(Medium
Protein)
7 161 14 - 700
Rice C: (High
Protein)
2 46 8 - 216
Meat- Low Fat 3 - 24 3 123
Medium Fat 3 - 24 18 258
High Fat - - -
Fat 6 - - 30 270
Sugars 3 15 - - 60
TOTAL 332 82 61 2205
CHO partial sum
Veg 12
Fruits 40
Milk 12
Sugar 15
Total 79
Deduct partial CHO from prescribedCHO
336 – 79 = 257
257/23=11.17 or 11 exchangesof rice
Partial sum of protein
Veg 4
Milk 8
Rice B 14
3. Rice C 8
Total 34
Deduct partial proteinfrom prescribedprotein
84 – 34= 50
50/8= 6.25 or 6 exchangesof meat
Partial sum of Fat
Milk 10
LF meat 3
MF meat 8
Total 31
Deduct partial fat from prescribedfat
63 - 31= 32
32/ 5= 6.4 or 6 exchangesoffat