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17 Cards in this Set
- Front
- Back
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Functions of the liver:
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Metabolism of carbohydrates, fats, protein
-stores glucose as glycogen -site of gluconeogenesis -makes plasma proteins such as albumin and clotting factors -uses nitrogen to form nonessential amino acids -forms cholesterol, aids in fat metabolism which is an alternate form of energy Produces bile salts which are necessary for the absorption of fat, and fat soluble vitamins (vitamin K) Metabolizes bilirubin from the unconjugated to the conjugated form so that it can be excreted Stores vitamins and minerals Blood reservoir Metabolizes most drugs Aids in the removal of ammonia Inactivate many steroid hormones produced by the body such as estrogen, progesterone, testosterone, aldosterone, and corticosteroids With age, the liver loses some of its function especially with drug metabolism |
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Serum albumin will be increased or decreased in liver disease?
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decreased
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Which enzyme is specific for liver?
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ALT
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PT/PTT, INR will be increased or decreased in liver disease?
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increased
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Serum ammonia will be increased or decreased in liver disease?
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increased
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Risk factors for hepatitis ____ includes homosexual men, foreign travel, IVDU, contact with children.
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A
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There is no chronic carrier state and usually no liver damage in hepatitis ____.
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A
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2 vaccines for hepatitis A?
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Havrix, Vaqta
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Risk factors for hepatitis B?
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IVDU, sexually active, infants born to infected women, tattoos
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Risk factors for becoming a chronic carrier for hepatitis B?
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children, steroid dependent, male, high viral load
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Chronic carriers with active hepatitis B can be treated with ____ and ____.
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interferon, lamivudine (3TC, Epivir)
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Check all pregnant women for hepatitis ____ surface antigen so infant can be treated.
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B
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In hepatitis ____ there is no protective antibody response (like HIV).
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B
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Treatment for hepatitis B includes ____ and ____.
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interferons
Ribavarin (Rebetol, Copegus) |
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2 side effects of Ribavarin?
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hemolytic anemia (look for pallor, activity intolerance, tachycardia)
teratogenic |
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Patients with cirrhosis develop ____ which may cause esophageal varices.
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portal hypertension
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Pancreatitis most often presents as pain referred to the ____.
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back
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