Cirrhosis

Question 1

4 Major Functions of the Liver:

Answer 1

1. )detoxifies _ the body.
2. )Helps your blood to ___clots__
3. )The liver helps to metabolize (break down) ____drugs_.
4. )The liver synthesizes ___ albumin in other words it makes albumin

Question 2

Y is the liver important for detoxifying the body ?

Answer 2

If you liver is not working you going to fill up with ToxinsAnd toxins make us feel tired! No energy because you’re so full of toxins! That’s why they are told to rest because they’re so full of toxins!

Question 3

If your liver isn’t working your blood can’t clot and so your worried abt ?

Answer 3

If your liver is messed up the number one thing your post to be where about is bleeding! No matter what kind of liver thing you have going on the number one concern is bleeding

Question 4

What is the Pathophysiology

Answer 4

Liver cells are destroyed and are replaced with connective/scar tissue→ alters the _____ circulation__within the liver→ the BP in the liver goes up_, this is called portal _____ hypertension which is high blood pressure in the liver_.

Question 5

S/s of cirrhosis

Answer 5

1. ) hepatic encephalopathy/coma
2. ) Ascites
3. ) Anemia
4. )Alt &Ast
5. .) hypo albumin
6. ) Change in bowel habits
7. ) Splenomegaly
8. ) Chronic dyspepsia
9. ) Abdominal pain
10. ) firm nodular liver

Question 6

What are dx

Answer 6

1. ) CT
2. ) MRI
3. ) ultrasound
4. ) liver biopsy

Question 7

how you do confirm liver disease?

Answer 7

Liver biopsy

Question 8

What done during a liver biopsy?

Answer 8

They take a needle and stick it in your sick liver so you are worried about bleeding

Question 9

What do you do pre op liver biopsy?

Answer 9

1. ) Clotting studies pre­procedure; PT, INR and aPTT

2. ) Vital signs pre­procedure

Question 10

How do you position this client pre op liver biopsy?

Answer 10

supine with right arm behind the head that’s just to get the arm out the way
Exhale and hold ___ their breath
Why? To get the ________ to get the diaphragm__out of the way.
Because you don’t want to puncture the diaphragm

Question 11

Post op how do we position the client

Answer 11

Lie on ____right__ side

to hold pressure

Question 12

Why do you do post op VS?

Answer 12

Because we worry about bleeding

Question 13

TX

Answer 13

1. ) Antacids, vitamins, diuretics
2. ) No more _____ alcohol__ (don’t need more damage)
3. )I & O and daily ____ weights__ (Any time you have ascites you have a fluid volume problem)

4.) Measure abdominal girth, why?
Because of ascites

5. ) Rest ­because they’re full of toxins
6. )Prevent bleeding (bleeding precautions
7. ) Paracentesis
8. ) Monitor jaundice
9. ) Avoid _____ narcotics ­

Question 14

Why does the client need rest ?

Answer 14

They are filled with toxins

Question 15

Who is Paracentesis performed on ?

Answer 15

Perform on the client with ascites

Question 16

What is a Paracentesis?

Answer 16

Is the Removal of fluid from the _ peritoneal cavity

Question 17

Where is ascites coming from?

You better check______ ? Because this client could be ____?

Answer 17

All the fluid in the abdomen is coming from the vascular space so the vascular space fluidis going down so the client could be Shocky so you better be checking the blood pressure!

Question 18

The client with ascites looks like their in ___?

Answer 18

they look like they’re in fluid vilume excess but there fluid is in the wrong place the fluid should be in the vascular space­

Question 19

What do you do pre op Paracentesis?

Answer 19

void to make sure the bladder is teeny tiny . Because We don’t want to puncture the bladder

Question 20

How do we position the client with Paracentesis?

Answer 20

any position where they are sitting up to let all that fluid settled in one spot so the doctor can go in and get it ! If you lay them flat the fluid will go everywhere

Question 21

Why do you check the VS with Paracentesis ?

Answer 21

check Vital signs anytime you’re putting fluids from the patient you worried about shock

Question 22

With shocky clients the BP goes __ and the pulse goes ___.

Answer 22

With shocky clients the BP goes down and the pulse goes __up_.

Question 23

The first place you see jaundice is in the _______) by the time jaundice gets out to the skin they will be complaining about _______. So ____the fingernails

Answer 23

The first place you see jaundice is in the eyes(Scalera) by the time jaundice gets out to the skin they will be complaining about itching.

So cut the fingernails

Question 24

If you give a liver client narcotics it’s the same

thing as ____ dosing them.

Answer 24

If you give a liver client narcotics it’s the same

thing as double dosing them.

Question 25

What is the diet

And y?

Answer 25

Decrease protein & sodium

Because serum ammonia levels go up which make their LOC goes down because ammonia Acts like a sedative
Low Na diet ­ to help with the ascites problem