Reading...
Play button
Play button
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;
22 Cards in this Set
- Front
- Back
|
Treatment of Cirrhosis
|
Abstinence from alcohol
Nutritional Repletion - folic acid 1 mg/day |
|
|
Treatment of Ascites
|
Spironolactone
|
|
|
What do you add to spironolactone when treating ascites?
|
Furosemide to decrease hyperkalemia
|
|
|
Side Effects of Spironolactone
|
Gynecomastia, hyperkalemia, hyponatremia, GI disturbances, menstrual changes, impotence, voice deepening, and agranulocytosis
|
|
|
Monitoring of Spironolactone
|
Monitor weight - goal of 0.5-2 kg/day
Urine Output Abdominal Girth Creatinine Urinary Chemistries |
|
|
What happens if fluid is taken off too quickly?
|
risk of volume depletion, hypotension, and compromised renal function.
|
|
|
Complications of Diuretic Therapy
|
Acute renal failure - prerenal azotemia
|
|
|
What isn't recommended for treatment of ascites?
|
Thiazides
|
|
|
Complications of Paracentesis
|
Hypotension, shock, oliguria, encephalopathy, and hepatorenal syndrome
|
|
|
What do you give with paracentesis?
|
IV albumin to prevent PICD
|
|
|
Primary Prevention of Esophageal Varices
|
Beta-blcokers
Isosorbide-5-mononitrate (vasodilator) |
|
|
Acute Treatment of Bleeding in Esophageal Varices
|
Volume resuscitation
Maintain and protect airway NG tube White blood or PRBC Vitamin K FFP Octreotide Nitroglycerine |
|
|
Side Effects of Octreotide
|
Diarrhea, hyperglycemia, and injection site pain
|
|
|
Secondary Prevention of Esophageal Varices
|
Band ligation
Beta-blockers Isosorbide mononitrate |
|
|
Treatment of Hepatic Encephalopathy
|
Lactulose
Neomycin Combination |
|
|
Complication of chronic use of Neomycin in Renal Failure
|
Ototoxicity and nephrotoxicity
|
|
|
Monitoring with Neomycin
|
Serum Cr, proteinuria, CrCl
|
|
|
Side Effects of Neomycin
|
Malabsorption Syndrome
|
|
|
Hepatitis Immunoglobulin can interfere with what vaccines?
|
MMR and Varicella
|
|
|
Interferon Drug Interactions
|
Double Theophylline
|
|
|
Treatment of Hepatitis C
|
Pegylated Interferon plus Ribavirin
Interferon plus Ribavirin |
|
|
Adverse Effects of Pegylated Interferon
|
Flu-like symptoms, hematologic abnormalities, neuropsychiatric symptoms, and lactic acidosis
|
