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BSN LAST TEST-Pt 2 > Liver: Cirrhosis and Fulminant hepatic Failure > Flashcards

Liver: Cirrhosis and Fulminant hepatic Failure Flashcards

1
Q

What is cirrhosis?

A

Irreversible, inflammatory disease of the liver

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2
Q

Cirrhosis is extensive scarring of the liver caused by _____ or chronic reaction to ____ over a long period of time

A

Necrotic injury or a chronic reaction to inflammation over a prolonged period of time

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3
Q

Cirrhosis

What is normal tissue replaced with?

A

Fibrotic tissue that lacks function

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4
Q

Cirrhosis

Teaching

A

Stay current on immunizations

Encourage client to avoid drinking alcohol

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5
Q

Cirrhosis

Nonsurgical tx? (3)

A
  1. Parcentesis
  2. Endoscopic variceal ligation/endoscopic sclerotherapy (EST)
  3. Transjugular intrahepatic oortosystemic shunt (TIPS)
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6
Q

Cirrhosis

Why do parcentesis?

A

To relieve ascites

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7
Q

Cirrhosis

Why do EVL/EST?

A

To band varies and decreased risk of hemorrhage

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8
Q

Cirrhosis

Why do TIPS?

A

An interventional radiology for clients who require further intervention with ascites or hemorrhage

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9
Q

Cirrhosis

Surgical tx?

A
  1. Surgical bypass shunting

2. Liver transplant

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10
Q

Cirrhosis

Who gets surgical bypass shunting?

A

Last resort for those with portal HTN and esophageal varies

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11
Q

Cirrhosis

What to know about the liver and giving meds?

A

Liver is main metabolism source so if liver is hurt then meds need to be administered sparingly

*esp. opioids, sedatives, and barbiturates

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12
Q

Cirrhosis

Why give diuretic?

A

Decrease excessive fluid in the body

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13
Q

Cirrhosis

Why give BB?

A

Used for clients who have varies to prevent bleeding

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14
Q

Cirrhosis

Why give lactulose?

A

To promote excretion of ammonia from the body through stool

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15
Q

Cirrhosis

Why give non absorbable antibiotic?

A

To be used in place of lactulose

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16
Q

Fulminant hepatic failure

What are the management goals?

A
  • Decrease ammonia levels
  • Control bleeding
  • Prevent infection
  • Protect from injury
  • Prepare for transplant
  • Survey for complications
17
Q

Fulminant hepatic failure

How to decrease ammonia levels?

A
  • Remove nitrogenous wastes
  • DRUG: Neomycin: prevents ammonia production in intestines
  • Drug: Lactulose: Keeps ammonia in intestines and instead expelled from colon via BM
  • Decrease protein intake
18
Q

Fulminant hepatic failure

What does neomycin do?

A

Prevents ammonia productive in intestines

19
Q

Fulminant hepatic failure

What does lactulose do?

A

Keeps ammonia in intestines and is expelled through BM

20
Q

Fulminant hepatic failure

How to control bleeding?

A

Stress ulcer prophylaxis

Vitamin K, FFP, Plts

21
Q

Fulminant hepatic failure

Protect from what injury?

A

Bleeding

22
Q

Fulminant hepatic failure

Survey for complications..what complications?

A 
Cerebral edema
Renal failure 
ARF
Electrolyte imbalance
HYPOglycemia

BSN LAST TEST-Pt 2 (22 decks)

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