Explain the potential role of diet in the development of NAFLD. ...

[wrbasek0]

Explain the potential role of diet in the development of NAFLD. Specifically address the roles of simple sugars, fructose, refined carbohydrates, and saturated fat.
 
  What will be an ideal response?

Question 2

Identify the steps you would take to monitor Mr. McKinley's nutritional status in the intensive care unit.
 
  What will be an ideal response?

[ally]

Answer to Question 1

 In one systematic review, fructose appears to not be related to NAFLD when substituted isocalorically into the diet. But, when providing it in excess of energy needs and very high doses, some contribution to increasing ALT levels can be observed.
 Simple sugars, refined carbohydrates, and saturated fat may exacerbate the fat accumulation observed within NAFLD (thought to be related to the elevated insulin levels with elevated serum levels of these substances).
 Low-carbohydrate, low-fat, and high-protein diets appear to be beneficial for NAFLD patients
 Substitution of carbohydrate for MUFA incorporation into the diet may have even greater effects on NAFLD, suggesting that the Mediterranean diet has nutritional therapeutic potential.

Answer to Question 2

 Sufficiency of nutrient intake/intake-output: daily
 Electrolytes, BUN, creatinine: daily, then when stable 3 times per week
 Liver function tests: weekly
 Triglycerides: weekly
 Weight, hydration, vital signs, bowel function: daily
 Serum glucose: 3 times daily until stable
 Nitrogen balance: weekly

[wrbasek0]

TYSM

[Viet Thy]

Excellent