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[Answered]: Actions – rationale for interventions and therapy…

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Actions – rationale for interventions and therapy The following care is suggested for Jacob. This is discussed with him, and a support worker. Both articulate that some of the strategies will be difficult to adhere to, given his living circumstances. 1.Restrict sodium intake to <2 g/day 2.High protein / high energy diet 3.Vitamin and mineral supplementation – vitamins A, B, D & E + magnesium 4.Medications – spironolactone 25 mg daily, lactulose 30 ml 3 – 4 x daily 5.Reduce alcohol intake 12. Describe the rationale for the diuretic therapy and sodium intake reduction. 13. Jacob may be a candidate for paracentesis if his ascites does not respond to diuretic therapy. Explain what paracentesis is and how it would help Jacob? 14. Explain the rationale for the lactulose therapy. What is the aim of this therapy?

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