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liver & gallbladder - Coggle Diagram
liver & gallbladder
functions of the liver
metabolism of fats, proteins, and carbohydrates
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excretion of bilirubin, cholesterol, hormones, and drugs.
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malnutrition in CLD
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associated with increased risk of ascites, hepatorenal syndrome, greater LOS & higher mortality and morbidity
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anthro
wt, wt hx & BMI inaccurate
use mid arm circumference, tricep skinfold, hand grip strength and short physical performance battery
guidelines - ESPEN, 2020
wt to use in LD
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with ascites - IBW according to ht (BMI@25)
energy
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has to be divided into 4-6 meals/d INCLUDING late night snack to sustain glycogen release overnight - starvation state otherwise
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enteral feeds
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progression to PN via nasogastric/nasojejunal tube if still unable to meet reqs - no contraindication if varices
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obesity in CLD
BMI >40 risks associated with transplant are increased (multi organ failure, increase ventilator time, sepsis
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