Dietetic Technician Practice Test

How much protein is recommended for a patient with cirrhosis but without evidence of encephalopathy to maintain positive nitrogen balance?

1. 0.6 grams per kg of body weight

2. 0.8 grams per kg of body weight

3. 1.0 grams per kg of body weight

4. 1.2 grams per kg of body weight

The correct answer is: 0.8 grams per kg of body weight

For a patient with cirrhosis who does not show symptoms of encephalopathy, a protein intake of 0.8 grams per kilogram of body weight is typically recommended to maintain a positive nitrogen balance. This level of protein is deemed sufficient for supporting liver function while minimizing the risk of further complications associated with increased ammonia levels, which can be a concern in individuals with liver disease. Maintaining a positive nitrogen balance is crucial as it indicates that the body is retaining more nitrogen than it is losing, which is essential for protein synthesis and overall health. Research has shown that moderate protein intake helps to preserve muscle mass and support metabolic needs in patients with cirrhosis, while also being mindful of potential complications from excessive protein consumption. In contrast, lower protein recommendations, such as 0.6 grams per kilogram, may not meet the necessary dietary needs for individuals with cirrhosis. On the other hand, higher intakes like 1.0 grams or 1.2 grams per kilogram may be more appropriate for other patient populations or in different clinical scenarios, but for those specifically with cirrhosis and no encephalopathy, the balance of protein intake at 0.8 grams per kilogram is optimal for managing their condition effectively.