Chapter 55 Flashcards

1
Q

Right Upper Quadrant Contains

A
  • Most of the liver
  • Gallbladder
  • Duodenum
  • Head of the pancreas
  • Hepatic flexure of the colon
  • Part of the ascending and transverse colon
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2
Q

Right Lower Quadrant Contains

A
  • Cecum
  • Appendix
  • Right ureter
  • Right ovary and fallopian tuve
  • Right spermatic cord
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3
Q

Midline Abdomen Contains

A
  • Abdominal aorta
  • Uterus (if enlarged)
  • Bladder (if distended)
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4
Q

Left Upper Quadrant Contains

A
  • Left lobe of the liver
  • Stomach
  • Spleen
  • Body and tail of pancreas
  • Splenic flexure of the colon
  • Part of the transverse and descending colon
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5
Q

Left Lower Quadrant Contains

A
  • Part of the descending colon
  • Sigmoid colon
  • Left ureter
  • Left ovary and fallopian tube
  • Left spermatic cord
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6
Q

Calcium

Level & Significance

A

9.0 - 10.5 (values decrease in older adults)
Decreased values indicate possible:
Malabsorption, Renal failure, Acute pancreatitis

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7
Q

Potassium

Level & Significance

A

3.5 - 5.0
Decreased values indicate possible:
Vomiting, gastric suctioning, diarrhea, drainage from intestinal fistula

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8
Q

Albumin

Level & Significance

A

3.5 - 5.0
Decreased values indicate possible:
hepatic disease

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9
Q

ALT

Level & Significance

A

3 - 35 international units/L or 8 - 20 units/L
Increased values indicate possible:
Liver disease, hepatitis, cirrhosis

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10
Q

AST

Level & Significance

A

5 - 40
Increased values indicate possible:
Liver disease, hepatitis, cirrhosis

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11
Q

Total Billirubin

Level & Significance

A

0.1 - 1.0
Increased values indicate possible:
Hemolysis, biliary obstruction, hepatic damage

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12
Q

Direct Bilirubin

Level & Significance

A

0.1 - 0.3
Increased values indicate possible:
Biliary obstruction

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13
Q

Indirect Bilirubin

Level & Significance

A

0.2 - 0.8
Increased values indicate possible:
Hemolysis, hepatic damage

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14
Q

Ammonia

Level & Significance

A

15 - 110
Increased values indicate possible:
Hepatic disease such as cirrhosis

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15
Q

Amylase

Level & Significance

A

56 - 90
Increased values indicate possible:
Acute pancreatitis

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16
Q

Lipase

Level & Significance

A

0 - 110
Increased values indicate possible:
Acute pancreatitis

17
Q

Cholesterol

Level & Significance

A

<200
Increased values indicate possible:
Pacreatitis, biliary obstruction

18
Q

CA19-9

Level & Significance

A

<37 units/mL
Increased values indicate possible:
Cancer of the pancreas, stomach, or colon,
Acute pancreatitis, Inflammatory Bowel Disease.

19
Q
Carcinoembryonic Antigen (CEA)
(Level & Significance)
A

Nonsmoker s disease, Hepatitis, Cirrhosis

20
Q

Alkaline Phosphatase

Level & Significance

A

30 - 85 international units/L
42 - 128 units/L
Increased values indicate possible:
Hepatic disease, biliary obstruction

21
Q
Prothrombin Time (PT)
(Level & Significance)
A

9 to 12 seconds

Increased in hepatic disease as vitamin K is not synthesized.

22
Q

INR

International Normalized Ratio

A

1-2

2 - 3 desired therapeutic level with Coumadin

23
Q

Hct

Hematocrit

A

Male: 42-52%
Female: 35-47%

24
Q

Hgb

Hemoglobin

A

Male: 13-18 g/dL
Female: 12.0-16.0 g/dL

25
Q

RBC (erythrocyte count)

A

Male: 4.3-5.9 million/mm3
Female: 3.5-5.5 million/mm3

26
Q

Platelet Count

A

150,000-400,000/μL

27
Q

WBC (leukocyte count)

A

5000-10,000/mm

28
Q

BUN

A

6-20 mg/dL

High - CHF, kidney failure or disease, hypovolema
Low - liver problems, malnutrition

29
Q

Creatinine

A

0.5-1.5 mg/dL*
C is removed entirely by the kidneys.
High means more C in blood because kidney function is abnormal and not removing it properly

30
Q

Total Protein

A

6.4-8.3 g/dL*

31
Q

What vitamins and minerals are stored by the kidney

A

iron, magnesium, and fat-soluable vitamins A, D, E, K

32
Q

What valve separates the entrance of the ileum from the cecum of the large intestine?

A

ileocecal

33
Q

Decreased hydrochloric acids level lead to decreased absorption of…

A

Iron and vitamin B12