Hepatic Disorders Flashcards
labs that will be increased if there is an issue with the liver
AST ALT protein prothrombin time ammonia cholesterol alkaline phosphate
watch for this following liver biopsy
bleeding
signs of bleeding following liver biopsy
bruising in abd area
most common cause of hepatic dysfunction
malnutrition related to alcoholism
besides alcoholism, causes of hepatic dysfunction
infection anoxia metabolic disorders nutritional deficiencies hypersensitivity states
manifestations of hepatic dysfunction
jaundice portal htn ascites varices hepatic encephalopathy nutritional deficiencies
cause of hepatic encephalopathy/coma
increased ammonia levels
where do the varices associated with hepatic dysfunction occur
esophagus
obstructed blood flow thru the liver resulting in increased pressure throughout the portal venous system
portal HTN
what does portal HTN result in
ascites
esophageal varices
in a pt with ascites, is percussion of the abdomen heard as tympany or a dull sound
dull
T or F: the HOB should be flat in a pt with ascites
FALSE, should be elevated or pt may be sitting in chair
tx of ascites
low sodium diet diuretics bed rest paracentesis admin salt poor albumin TIPS
life threatening complication of hepatic dysfunction
hepatic encephalopathy
fetor hepaticus
breath smells like stool
