Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
15 Cards in this Set
- Front
- Back
What are the causes that result in damage to liver parenchymal cells?
|
infectious agents
toxins nutritional deficiency cirrhosis anoxia medications hypersensitivity |
|
What are the manifestations of cirrhosis?
|
chronic indigestion
weight loss spleenomegally spider telangiectasis varices-d/t portal HTN decrease in albumin vitamin deficiency gastritis ascites caput medusae-enlarged vessels ATC belly button anemia coma encephalopathy bleeding |
|
What are the interventions used to treat ascites?
|
d/c meds that dec. prostaglandins
diuretics, esp. aldactone IV albumin low na diet restrict fluids paracentisis pertioneovenous shunt |
|
What are the functions of the liver?
|
glucose metabolism
lipid metabolism protein metabolism vitamins and mineral levels drug metabolism and detoxification bile formation billirubin excretion blood volume reservoir blood filter blood clotting hormone detoxification |
|
What are the clinical manifestations of hepatic encephalopathy?
|
minor mental and motor changes
slight confusion, alteration in mood asterixis (hand flapping) handwriting changes LATE-frank coma |
|
What is hepatic encephalopathy?
|
results from accumulation of ammonia and other toxic metabolites in blood
damaged liver cells fail to detoxify and convert to urea the ammonia that is constantly entering bloodstream |
|
What do radiologic exams tell you?
|
structure
|
|
Past Health HX
|
major illness, hospitalizations
procedures causing skin, membrane disruption medications |
|
Medical management for Hepatitis?
|
bedrest
diet of high CHO and low fat frequent small feedings IV if indicated |
|
What are the contraindications of a liver biopsy? What are some complications?
|
CONTRAINDICATIONS:
thrombocytopenia prolonged PT peritonitis mass axcites enlarged gallbladder cancer COMPLICATIONS: hemorrhage pneumothorax infections peritonitis |
|
What are the complications of paracentisis?
|
hypovolemia and shock
|
|
What is ascites?
|
sequel to portal HTN
fluid accumulation in peritoneal cavity chronic problem-liver sweats |
|
Diagnostic Exams
|
ALT (SGPT)-liver specific
AST ALP LDH-#4&5 Billirubin-conjugated vs unconjugated PT-prolonged in liver failure Serum ammonia-inc. r/t no breakdown and elimination Serum albumin-r/t dec. urea production globulins-dec. related to dec. production except with cirrhosis initially |
|
What are some nursing intervetions used in treating ascites?
|
daily weights
girth measurements strict I&O small frequent feedings limit protein and fluids teach to read food labels-NA skin care |
|
What do you assess?
|
chief complaint
GI-pain, anorexia, nausea, vomiting, wt. change, indigestion, fat intolerance, eructation, bowel changes, melena, clay colored stools, steatorrhea Neurologic-drowsiness, clouded sensorium, irritability, change in mental status GU-change in urine color (orange) Skin-jaundice, petechiae, dilate abdominal veins, unexplaine punctures CV-nosebleeds, bruising, hemorrhoids, ascites, edema |