chapter 43 f2f part 3 Flashcards
serum bilirubin level to become jaundice s
exceeds 2 mg/dL
what are the types of jaundice?
hemolytic jaundice
hepatocellular jaundice
obstructive justice
identify jaundice: increased destruction of the RBC
hemolytic jaundice
identify jaundice: inability of damaged liver cells to clear normal amounts of bilirubin from the blood
hepatocellular jaundice
identify jaundice:occlusion of the bile duct from a gallstone
obstructive jaundice
give an example of hemolytic jaundice
sickle cell disease
what is the color of the urine of px with sickle cell disease
dark orange urine
what is the color of the urine of px with obstructive jaundice
dark orange brown urine
obstructed blood flow thru the liver results in ↑ pressure from the portal venous system
portal hypertension
consequences of portal hypertension
ascites
esophageal varices
what should be assessed in varices?
striae
distended veins
umbilical hernia
what are the treatment for jaundice?
low sodium diet
diuretics
bed rest
paracentesis
administration of salt poor albumin
TIPS
PVS
removal of the fluid
paracentesis
TIPS meaning
transjugular intrahepatic portosystemic shunt
Insertion of tube/stent in the portal vein; relieve pressure
TIPS/ transjugular intrahepatic portosystemic shunt
One way valve; connection of the peritoneal cavity and systemic venous circulation via shunting tube placed
PVS/peritoneovenous
PVS meaning
peritoneovenous
drugs that is most often used in patient with ascites
spironolactone
what is the first line medication for ascites
spironolactone
what should be checked in px taking spironolactone
potassium levels
if the px has cirrhosis
what are the complication of hepatic encephalopathy
accumulation of ammonia
toxic metabolize in the drugs
a distinctive odor on the breath of people with severe liver disease
fetor hepaticus
what type of hepatic encephalopathy: caused by acute liver failure
type a
what type of hepatic encephalopathy: caused by portosystemic shunt
type b
what type of hepatic encephalopathy: sudden loss of liver function
type a
what type of hepatic encephalopathy: caused chronic Hepatitis C; chronical alcoholism
type c
MASLD meaning
metabolic dysfunction associated steatotic liver disease
