NR 228 Exam 3 Study Guide- Chapter 16 - 20

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Chapter 14: • Hepatitis-Causes and Diet: o Hepatitis A: fecal / oral (poor handwashing) ▪ vaccine ▪ asymptomatic ▪ adequate nutrition needed / NO alcohol o Hepatitis B: blood, sexual con... tact, vaginally during delivery ▪ vaccine ▪ asymptomatic ▪ adequate nutrition needed / NO alcohol o Hepatitis C: blood, saliva, tears, semen ▪ no dietary recommendations ▪ baby boomers get this the most o Hepatitis D: only occurs if you already have Hep. B ▪ no dietary recommendations ▪ risk factor: IV drug use o Hepatitis E:self-limiting, enterically transmitted ▪ risk factors: travel to tropical areas ▪ avoid drinking water and avoid uncooked fruits and veggies ▪ no vaccine • Fatty Liver at Risk and Diet: o avoid over nutrition - high fat - high fructose - weight loss w/out skipping meals o mist common cause: alcohol - obesity -some medications - parenteral nutrition o liver disease ---> impairs protein synthesis---> most affected isthe immune system • Liver Failure/Cirrhosis/Esophageal Varices/Ascites: o Liver Failure: o Cirrhosis: protein and energy malnutrition common,soft, low-fiber,sodium and fluid restriction ▪ chronic disease o Esophageal Varices: soft diet o Ascites: sodium retention -- cannot use actual weight because of the fluid, need to find another way to weigh these pts • Gall Bladder Risk and Diet: o occlusion can lead to ---> liver problems / failure or pancreatitis o risk factors ---> rapid weight loss through low calorie diets, very low fat diet, skipping breakfast o avoid fatty foods o IV fluids [Show More]

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