Concepts Exam#3 Ch 58

Question 1

How much alcohol causes cirrhosis? In women? Men?

Answer 1

Women - 2-3 drinks daily for a minimum of 10 years.

Men - six drinks daily for 10 years.

Question 2

Not candidates for liver transplant

Answer 2

Severe cardiovascular instability with advanced cardiac disease
Severe respiratory disease
Metastatic tumors
Inability to follow instructions regarding drug therapy and self managment

Question 3

Post op for liver transplant patient

Answer 3

Monitor for liver rejection, infection, systemic organ failure, pneumonia

Question 4

Treatment of skin irritation and pruritus with jaundice in Cirrhosis Patients

Answer 4

Teach the patient to use COOL rather than warm water on skin and to NOT use excessive amount of soap. Teach UAP to use lotion to soothe the skin. Skin areas can become infected from scratching.

Question 5

Parcentesis

Answer 5

Insertion of a tracer catheter (by physician) or drain into abdomen to remove ascitic fluid from peritoneal cavity. Ultrasound is used for added safety.

Question 6

Patient Safety Practices for Paracentesis

Answer 6

Explain procedure, Obtain vitals (including weight), void before procedure to prevent bladder injury, Head of bed elevated, measure drainage, send fluid to lab, apply dressing to site after procedure, maintain bedrest.

Question 7

Most important intervention for patient with hepatopulmonary syndrome

Answer 7

Monitor oxygen saturation with pulse ox, elevate head to 30, Elevate feet to decrease ankle edema and relieve dyspnea, weigh patient daily.

Question 8

Nutrition Therapy for Cirrhosis Patient

Answer 8

Low-sodium diet; eat small, frequent meals that are nutritional; Ensure (supplemental liquid) and a multivitamin.

Question 9

Which drugs should Cirrhosis Patients avoid?

Answer 9

Acetaminophen, alcohol, and illicit drugs. By avoiding, patient prevents further fibrosis of liver, allow liver to heal