Hepatic Flashcards
1
Q
diet for hepatitis
A
high carb, high calorie, moderate fats, low-ish protein
2
Q
why is a low-moderate protein diet important
A
protein breaks down into ammonia
3
Q
lactulose
A
given to lower ammonia levels, causes diarrhea
4
Q
if paracentesis cath is left in, max that can be drained
A
2 L - or severe hypotension
5
Q
indicator that paracentesis is needed
A
SOB
6
Q
pre-paracentesis
A
check labs, albumin bolus, record vitals, pt weight & abd girth
7
Q
during paracentesis
A
monitor vitals, keep sterile, send specimen to life
8
Q
post-paracentesis
A
maintain pressure, compare VS, weight & abd girth, monitor temp, can give furosemide & spironolactone, monitor labs
9
Q
how to prevent hypovolemia from paracentesis
A
drain slowly, give albumin before
