7%20Nutritional%20Treatment%20for%20End-stage%20Liver%20Disease_1

7%20Nutritional%20Treatment%20for%20End-stage%20Liver%20Disease_1

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NUTRITIONAL TREATMENT FOR END-STAGE LIVER DISEASE Condition Etiology Treatment Cachexia Anorexia Poor appetite Excessively restricted diet Poor food choices Early satiety Malabsorption Elevated needs Provide adequate calories At least 20% above BEE Provide increased calories when mal- absorption or malnutrition is present Offer small, frequent meals of calorically dense foods Liberalize diet Consider oral supplements If unable to establish adequate intake, consider enteral feeding Hepatic encephalopathy Infection Fluid and electrolyte imbalance Hypoxia Medications, e.g. sedatives, narcotics GI bleeding Nitrogen overload Amino acid imbalances Provide adequate calories so patient does not utilized muscle protein stores for energy and release N 2 If the patient is not sensitive to protein, provide 1.0-1.2 g protein/kg/day or more as needed. If patient is protein sensitive, start with 0.5 to 0.7 g protein/kg/day and increase level to tolerance, aiming for up to 1.5 g/kg/day if
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7%20Nutritional%20Treatment%20for%20End-stage%20Liver%20Disease_1

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