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9 Cards in this Set
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Pigment studies
Prior to test values information about test |
ability to conjugate and excrete bili
NPO 4 hours before Normals: total 0 - 0.9 mg/dl over 70% of parenchyma of liver may be abnormal before tests become abnormal |
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Protein studies -- serum albumin
what happens with decreased serum albumin |
normal 3.5 - 5.5
generalized edema if lacking |
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PT
PTT |
prolonged in hepatic disease
Liver disease -- PTT prolonged due to lack of vitamin K PT 9.5 - 12.0 PTT 25-39 |
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Blood ammonia
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liver converts ammonia to urea -- liver disease ammonia levels rise
normal 15-40 |
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Liver scan
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question about allergies -- can resume diet
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cholecystogram and cholangiography
Purpose Procedure NI? |
gall bladder and bile duct visualization
Fat free dinner evening before -- take dye in tablet form NPO after dye injgestion X-rays followed by ingestion of high fat meals -- then more x-rays NI: quesiton about allergies |
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Celiac axis arteriography
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liver and pancreas visualization -- use contrast media or organic iodine
NI? question about allergies |
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Splenoportogram (splenic portal venography
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No Prep -- question about allergies
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Liver biopsy
complication after procedure PT |
Give Vitamin K IM
NPO 6 hours before sedative right before exam patient hold breath 5-10 seconds After -- position on right side with pillow under -- mild pain radiating to right shoulder if severe ab pain -- may indicate perforation of bile duct and peritonitis no heavy lifting for 1 week |