Exam 20: Nutrition Therapy for Liver and Gallbladder Diseases
The most common complication of alcohol abuse is:
B
Describe appropriate nutrition intervention before and after a liver transplant.
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?
Pain after eating, nausea, vomiting, fever.
Albumin is not always a good indicator of nutrition status in patients with liver disease because:
People with protein-energy malnutrition may experience fatty liver.
Moderate use of alcohol has been shown to reduce deaths from coronary heart disease in middle-aged and older adults.
Which laboratory test is prolonged in a patient with liver disease?
Gallstone disease affects about _____ percent of the adult population in the United States.
The most appropriate dietary intervention for a malnourished person with cirrhosis is:
Many patients with cirrhosis require medication or insulin to control hyperglycemia.
What is the daily sodium restriction for a patient with ascites?
A patient is admitted to the hospital with decreased albumin, elevated alkaline phosphatase, and elevated bilirubin. These clinical findings are evidence of:
Which condition is caused by bilirubin accumulation in the bloodstream?
All of these factors must be considered in medical nutrition therapy following liver transplant EXCEPT:
One standard vodka drink (1.5 ounces)is equivalent to _____ ounces of beer.
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