#pnald

[mission-to-dietitian]

Bilirubin and total bilirubin. Total bilirubin represents the breakdown of heme containing proteins. Increases are indicaticive of cholestasis and hepatocellular damage.

Prolonged hepatocellular damage increases bilirubin levels.

You can look at bilirubin to determine whether parenteral nutrition associated liver disease (PNALD) is cholestatic or hepatocellular. Bilirubin helps you understand something related to bile flow.

Direct bilirubin is just that it's being conjugated, and Dr. P said she won't ask about this.

[chimaeracabra]

Omegaven is an option to avoid parenteral nutrition associated liver disease.

Same for SMOF (Soy, MCT, Olive, Fish Oil, lower amount of omega 6 in this formula)