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10 Cards in this Set

  • Front
  • Back
4 types of Cirrhosis
Alcoholic
Postnecrotic
Biliary Cirrhosis
Cardiac Cirrhosis
Late s/sx of Cirrhosis
(Decreased liver size scar Tissue)
Ascites d/t decreased albumin
Jaundice
Spider angioma
gastrointest. varices
edema
anemia
Clotting dysfunct.
Pruritus d/t accumulation of bile salts
Hepatic encephalophy or coma
What are some Clinical Manifestations of Hepatic Coma
Neuro: Disoriented,confusion,personality changes,memory loss, Dec.loc,dec. motor activity,
Positive Babinski reflex
Seizures
Asterixis or flapping tremor of the hands.
EEG slowing brain waves
breath odor SULFUR
What is the goal of medical management?
Decrease Ammonia level
What is given to Dec. ammonia level
Lactulose

the lactulose traps the ammonia in the intestine.
Diet for hepatic coma (if pt can eat)
high-carb,low-protein,low fat
What is the best position for pt w/ hepatic coma
semi-fowler's or fowler's supporting arms w/ pillows.
if pt. is on lactulose what labs should be monitored.
sodium and potassium
Cholecystitis
acute inflammation and infection of the gallbladder
when eating fatty foods what hormone is secreted by the small intestines?
cholecystokinin