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학습 자료 둘러보기 →For clients with jaundice and elevated liver enzymes, the priority is to provide small, frequent meals with balanced nutrition. This approach prevents the metabolic stress of prolonged fasting and large meals, which can overwhelm the liver's diminished capacity.
Aim for a nutrient-dense diet with adequate protein (1.0-1.5 g/kg/day) and carbohydrates to support hepatocyte regeneration and prevent muscle wasting. Caloric intake should be around 30-35 kcal/kg/day.
Avoid recommending three large meals, as this can worsen anorexia and fatigue. Do not restrict protein unless the client has severe encephalopathy unresponsive to standard therapy. Fluid restriction is not a standard intervention for reducing "liver workload" and is only indicated in cases of significant fluid overload or dilutional hyponatremia.
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