Patient presents with malnutrition secondary to liver disease. Name two (2) nutrition or medical problems associated with liver disease, and discuss the complications of both. What diet or medical treatment can help in managing these problems?
Two nutrition problem associated with liver disease are-
1. Protein energy malnutrition
2. Cirrhosis nutrition
1. Protein energy malnutrition:- In both children and adults, the first step in the treatment of protein-energy malnutrition (PEM) is to correct fluid and electrolyte abnormalities and to treat any infections.
The most common electrolyte abnormalities are hypokalemia, hypocalcemia, hypophosphatemia, and hypomagnesemia. Macronutrient repletion should be commenced within 48 hours under the supervision of nutrition specialists.
2. Cirrhosis nutrition:- A 2000 mg sodium-restricted diet is effective, when combined with diuretic therapy, for controlling fluid overload in 90% of patients with cirrhosis and ascites.sodium-restricted diets improve survival rate in liver cirrhotics.
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