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26 Cards in this Set
- Front
- Back
increase AST |
hepatic cell destruction: hepatitis |
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increase LDH |
hepatic cell destruction |
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increase alkaline phosphatase |
obstructive jaundice hepatic metastsis |
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Increase serum total billirubin |
hepatic cell disease |
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increase serum direct concogated bili |
hepatitis, liver metastaidsis |
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Increase serum indirect ucongated bili |
cirrohosis |
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Increase urine bili |
hepatoceulluar obstruction viral or toxic liver disease hepatic dysfunction |
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increase urine urobilirubin, decreased fecal urobil |
obstructive liver disease |
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increased serum total proteins |
acute liver disease |
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decreased serum total protein |
chronic liver disease |
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decreased serum albumin |
severe liver disease |
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increased serum globulin |
immune response to liver disease |
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increased serum ammonia |
advanced liver disease or portal systemic encephalopathy |
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prolonged PT or INR |
hepatic cell damage |
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Hep A transmission |
tranmission through mouth carrier: feces unless you touch children, poor sanitation there is a vaccine self limiting |
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Hep B |
blood and body fluids carier: yes chronic state: yes vaccine: yes drugs: yes and for C, but side effects fatality, most people are asymptomatic s/s"abdominal pain RIGHT UPPER Q, jaundice |
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Hepatitis |
A E self limiting BCD chronic disease dx: presence of antigen on blood test assessment: abd pain RUQ, lethargy, Nausea/v janudice |
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Hepatitis teaching |
high carb and calories: small meals limit drugs due to liver metab tx: antiviral drug, depends on type, many s/s |
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Cirrohsis |
irreversible scaring of the liver causes: alc, hep BCD, biliary obstruction dx: LFTs, coagulopathies, ultrasound |
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Liver function test components and what they are if they have cirrhosis |
total protein decreased albumin decreased globulin increased A/G lecture <1 ALT increased AST > ALT |
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complications of cirrhosis |
portal HTN ascities bleeding esophageal varices coagulation defects portal systemic encephalopathy hepatorenal syndrome |
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Cirrohis interventions |
diet therapy: low Na, thymine, folate, multivitamin bc liver can't store vitamins drugs: K sparing, loop diuretic, beta blocker, excretion of ammonia, antibiotcs |
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Cirrohis nursing interventions for bleeding management |
-very careful with NG tube placement -esophagogastric balloon -EGD, sclerotherapy or banding -transjugular intrahepatic portal systemic shunt (sedation and place stent in portal vein) -FFP, PRBC, platelets |
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Cirrhosis 2 things surgical |
paracentesis: remove fluid accumulation with ascites liver transplant |
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What key dx help determine what type of hepatitis is present |
negative hep a virus: hep B surface titer ALT, elk phos, LDH, AST, LFTs!! |
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