HUN4446 cirrhosis2

HUN4446 cirrhosis2 - (HE/coma malnutrition causes...

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hepatic encephalopathy (HE)/coma malnutrition causes: decreased intake decreased digestion/absorption metabolic abnormalities effect: poor prognosis nutritional management goals maintain/improve nutritional status prevent catabolism of LBM control edema/ascites prevent further liver cell damage prevent/ameliorate symptoms of HE nutritional management recommendations  of Cirrhosis/HE Energy: ~35 to 40 kcals/kg indirect calorimetry- best; needs may be affected by: infection, malabsorption, etc meals: small, frequent meals; HS snack Protein: 1.2 to 1.5 g/kg/d to promote + N balance protein restriction may be appropriate for acute flare of HE 0.6 -0.8 g/kg/d (temporary) BCAA (refractory encephalopathy; -N balance) 1.2-1.5 g/kg/d (ASAP) potential benefits of vegetable proteins fewer AAA contain BCAA contain arginine
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This note was uploaded on 10/25/2009 for the course HUN 4446 taught by Professor Mathews during the Spring '09 term at University of Florida.

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HUN4446 cirrhosis2 - (HE/coma malnutrition causes...

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