Liver Flashcards
Liver function
blood reservoir coag factors filters tox: drug kinetics bilirubin protein synthesis
liver asmt
jaundice bruise easy (bleeding) ascites encephalophy N/V, abd pain ETOH travel tx, occupation tx blood transfusion hospitalization esop. varices bowel habits and color current Meds wt loss/gain pruritus
M and M scores liver assessment
Child: encephalopy, albumin, bilirubin, ascites, PTT, primary biliary cirrhosis and Nutrition status
MELD
Liver specific labs
PTT AST ALT alk phosphate, GGT Ammonia 5 nucleotidase Bilirubin Albumin
cholestatic disease
biliary obstruction vit k deficiency tx with vit K and FFP assess: ECG, CO/EF, fluid status s/s inc CO, inc portal venous pressure-Portal HTN
Hepatitis
most common HCV travel tx blood transfusion s/s anorexia, N/V, fever, dark urine, light colored stools, jaundice acute--no OR ascites Portal HTN coags,
Auto-immune hep
steroids
Non ETOH fatty liver dz
inc type 2 DM can be asymptomatic inc LFT cirrhosis wt loss can reverse inc LFT
ETOH liver dz
ascites, bruising, jaundice, HTN, anorexia, N/V, abd discomfort,
labs: AST, ALT, LFT, coags, albumin, BGL, elytes, T&S
ECG, ECHO-EF
ETOH DT
tremors 6-8hr post drink with in 24hr hallucination, sz with in 72 hrs DTs *high risk for aspiration tx benzos
Cirrhosis
ascited, jaundice, bleeding, encephalophy, N/V abd pain
??coags, LFT, CBC, BGL??
Liver exam
CV: Inc CO, dec SVR, portal HTN, Hyperdynamic circulation
Pulm: dec FRC (bc of ascites)
Fluid status: ascites and edema
CNS: encephalophy
liver dz problem with blood
Abn:
coagulation
fibrinolysis
hemostasis
coag disorder lab result with liver
inc PT/INR
dec Platelets if
platelet disorder caused by with liver
not enough TPO to stimulate platelet making
