Normal ALT
5-35
Normal AST
15-41
Normal Bilirubin
.2-1.2
Normal Alkaline Phosphatase
32-91
Protein norm
6.4-8.3
Albumin norm
3.5-5.0
Ammonia norm
15-45 mcg/dL
Removal of 1 L of fluid =
1 kg (2.2 lb)
What med do you give for high blood ammonia levels?
Lactulose
Makes it come out in the stool
-monitor K
Asterixis
hand flapping
What blood abnormal lab may suggest liver cancer?
Elevated AFP (alpha feta protein)
Hepatitis is
Inflammation of the liver
How long for viral hepatitis to heal?
3-4 months
HBV medications
Lamivudine
Adefovire
Interferon
Leading cause for liver transplants in adults
Hep C
HCV medications
IV interferon
plus Ribavirin
People with Hep B will get
Hep D
Hep E manifestations and prognosis are similar to
Hep A
Chronic hepatitis can result from
Hep B, C, D
Hepatitis diet
Increased CHO
Increased Calories
Low fat
Low protein (or none)
Low sodium
Small, frequent meals
Risks for liver cancer
Cirrhosis
Alcohol use
Obesity
Diabetes
Hemochromatosis
HBV & HCV