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Concept Synthesis > Hepatic Disorders > Flashcards

Hepatic Disorders Flashcards

0
Q

liver function study - changes with cirrhosis, liver disease, chronic obstructive jaundice, viral hepatitis

A

globulins

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1
Q

liver function study - change w/ cirrhosis, chronic hepatitis, edema & ascites

A

albumin

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2
Q

liver function study - measures the ability of the liver to conjugate & exrete bilirubin

A

pigment studies

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3
Q

liver function study - abnormal in liver & biliary tract disease; associated w/ jaundice

A

pigment studies

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4
Q

liver function study - may be prolonged in liver disease; will not return to normal if severe liver damage

A

prothrombin time

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5
Q

liver function study - ⬆️ in biliary obstruction, ⬇️ in parenchymal liver disease

A

cholesterol

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6
Q

hepatic dysfunction results from damage to what kind of cells

A

parenchymal

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7
Q

what is the most common cause of hepatic dysfunction

A

alcoholism

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8
Q

what are some s/s of hepatic dysfunction

A

jaundice
ascites
hepatic encephalopathy

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9
Q

what is the bilirubin level with jaundice

A

> 2.5

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10
Q

obstructed blood flow through the liver resulting in ⬆️ pressure throughout the portal venous system

A

portal hypertension

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11
Q

what 2 things does portal hypertension result in

A

ascites

esophageal varices

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12
Q

what can result from ⬇️ albumin synthesis

A

ascites

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13
Q

which condition causes ascites

A

cirrhosis w/ portal htn

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14
Q

what procedure can be done to treat ascites

A

transjugular intrahepatic portosystemic shunt (TIPS)

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15
Q

what is the name of a life threatening complication of liver disease

A

hepatic encephalopathy

16
Q

what may cause hepatic encephalopathy

A

accumulation of ammonia & metabolites in the blood

17
Q

stage of hepatic encephalopathy - periods of euphoria & lethargy, reversed day/night sleep patterns

A

stage 1

18
Q

stage of hepatic encephalopathy - drowsiness, disorientation, mood swings, abnormal eeg

A

stage 2

19
Q

stage of hepatic encephalopathy - difficult to arouse, incoherents speech, ⬆️ reflexes, rigid extremities

A

stage 3

20
Q

stage of hepatic encephalopathy - comatose, flaccid extremities

A

stage 4

21
Q

flapping tremor of hands

A

asterixis

22
Q

sweet, slightly fecal odor of the breath

A

fetor hepaticus

23
Q

which med would be given to ⬇️ ammonia levels

A

lactulose

24
Q

which med would be given to ⬇️ protein catabolism

A

IV glucose

25
Q

what are some ways to decrease ammonia from the GI tract

A

suction
enema
abx

26
Q

s/s - hematemesis, melana, shock, deterioration

A

bleeding of esophageal varicies

27
Q

tx - O2, electrolytes, volume expanders, nitro, propanolol

A

bleeding of esophageal varicies

28
Q

what are propanolol & hadolol given for

A

⬇️ hepatic portal pressure

Concept Synthesis (7 decks)

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