Exam 20: Nutrition Therapy for Liver and Gallbladder Diseases

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The most common complication of alcohol abuse is:

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Describe appropriate nutrition intervention before and after a liver transplant.

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A dvanced liver disease is usually associated with malnutrition, which can increase the risk of complications  following a liver transplant. Evaluating nutrition status in transplant candidates can be difficult, however, because liver dysfunction and malnutrition often have similar metabolic effects. If fluid retention is present, it can mask weight loss and alter anthropometric and laboratory values. Correcting malnutrition prior to transplant surgery can help speed recovery after the surgery. Protein and energy requirements are increased after transplantation due to the  stress of surgery. High-kcalorie, high-protein snacks and oral supplements can help the transplant patient meet postsurgical needs. Vitamin and mineral supplementation is also an integral part of nutrition care. To help transplant patients avoid developing foodborne illnesses, health practitioners should provide information about food  safety measures, such as cooking meats adequately, washing fresh produce, and avoiding foods that may be contaminated.

Cook with Cholelithiasis:  Marcia Brown is a 42-year-old Pima Indian who works as a cook in a casino in Arizona. She has just been diagnosed with cholelithiasis. She is 5'4" tall and once weighed 210 pounds. One year ago, she underwent gastric bypass surgery and has lost 75 pounds. For several months, she had been experiencing episodes of pain in the right upper part of her abdomen. The pain usually began after eating and lasted for several hours. Lately she began to experience nausea and vomiting with the pain and began to run a fever. -​What symptoms did Marcia have that are consistent with a diagnosis of cholelithiasis? ​

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Pain after eating, nausea, vomiting, fever. ​

Albumin is not always a good indicator of nutrition status in patients with liver disease because:

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People with protein-energy malnutrition may experience fatty liver.

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Moderate use of alcohol has been shown to reduce deaths from coronary heart disease in middle-aged and older adults.

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Match each nutrition term with the appropriate definition.
Premises:
hepatic portal vein
Responses:
immunosuppressant drug given after a liver transplant
primary plasma protein synthesized by the liver
virus spread via infected blood and needles; no vaccine is available
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hepatic portal vein
immunosuppressant drug given after a liver transplant
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Which laboratory test is prolonged in a patient with liver disease? ​

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Gallstone disease affects about _____ percent of the adult population in the United States.

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Match each nutrition term with the appropriate definition.
Premises:
steatohepatitis
Responses:
yellow discoloration of the skin and eyes due to an accumulation of bilirubin
abnormally dilated blood vessels
enlargement of the liver
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Premises:
Responses:
steatohepatitis
yellow discoloration of the skin and eyes due to an accumulation of bilirubin
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The most appropriate dietary intervention for a malnourished person with cirrhosis is:

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Many patients with cirrhosis require medication or insulin to control hyperglycemia. ​

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Match each nutrition term with the appropriate definition.
Premises:
fatty liver
Responses:
enlargement of the liver
yellow discoloration of the skin and eyes due to an accumulation of bilirubin
an advanced stage of liver disease in which extensive scarring replaces healthy liver tissue, causing impaired liver function and liver failure
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Premises:
Responses:
fatty liver
enlargement of the liver
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What is the daily sodium restriction for a patient with ascites? ​

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The most common cause of hepatitis A virus infection is:

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A patient is admitted to the hospital with decreased albumin, elevated alkaline phosphatase, and elevated bilirubin. These clinical findings are evidence of:

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Which condition is caused by bilirubin accumulation in the bloodstream? ​

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Match each nutrition term with the appropriate definition.
Premises:
portal hypertension
Responses:
liver inflammation that is associated with fatty liver
abnormally dilated blood vessels
an accumulation of fat in the liver
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Premises:
Responses:
portal hypertension
liver inflammation that is associated with fatty liver
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All of these factors must be considered in medical nutrition therapy following liver transplant EXCEPT:

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One standard vodka drink (1.5 ounces)is equivalent to _____ ounces of beer. ​

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