Hepatic Coma:

Question 1

When you eat Protein→ Breaks down to ammonia→ The Liver converts ammonia to ____→ Kidneys excrete the ____

Answer 1

Protein→ Breaks down to ammonia→ The Liver converts ammonia to urea→ Kidneys excrete the urea

Question 2

When the liver is impaired he can’t convert_____ into ____

Answer 2

ammonia, urea

Question 3

S/s

Answer 3

­ 1.) Minor mental changes/motor problems

2. )Difficult to ____awake because they have too much ammonia in their blood
3. ) Asterixis ­
4. ) hand changed
5. ) decrease reflexes
6. ) EEG is slow
7. ) fetor
8. ) Anything that increases the ammonia level will aggravate the problem.
9. )Liver people tend to be GI bleeders

Question 4

Asterixis ­

Answer 4

Asterixis ­this is the flappy tremor of the hand .The teacher Probsbly referred to it as the liver flap

Question 5

What is Fetor?

Answer 5

Breath smells like _______ Ammonia( it smells like acetone)like fingernail polish remover A very strong chemical smell_

Question 6

there is protein in your blood . So if you have Gi bleeding &; u have blood in your stomach
And old blood in your intestines so your ammonia levels going to go ___

Answer 6

Up

Question 7

Tx

Answer 7

1. ) lactulose (Decreases serum ammonia)
2. )b. Cleansing enemas ­to get blood out the G.I. tract c.
3. )Decrease _____________protein_____ in the diet
4. )d. Monitor serum ammonia ­every single day