Liver - Part 1 Flashcards
What are the functions of the liver?
- Produces most proteins needed by the body
- Metabolizes or breaks down nutrients for food to produce energy when needed
- recycles iron - Prevents shortages of nutrients by storing certain vitamins, minerals and sugar
- Produces bile, a compound needed to digest fat and absorb Vitamins A,D,E and K
about 1/2 a pint per day - Produces most of the substances that regulate blood clotting
- Helps your body fight infection by removing bacteria from blood
- Removes potentially toxic byproducts of certain medications
- Detoxification
- Hematopoiesis in fetal life
What are the liver lab tests? (7)
- Alkaline phosphatase
- Alpha feta protein
- Alanine aminotransferase (ALT)
- Aspartate aminotransferase (AST)
- Bilirubin
- Prothrombin time
- Serum albumin
Alkaline phosphatase (2)
- Enzyme produced primary by the liver, bone and placenta
2. Excreted through the bile ducts
What does elevated levels of alkaline phosphatase indicate?
Obstructed jaundice
What is the normal level of alkaline phosphatase?
35-150U/L
Alpha feta protein (2)
- Protein synthesized by the liver
2. Nonspecific marker for malignancy
ALT
Alanine aminotransferase
Alanine aminotransferase
Enzyme found in high concentrations in the liver and lower concentrations in the heart, muscle and kidneys
Does ALT or AST remain higher longer?
ALT
What is alanine aminotransferase used to assess?
Jaundice
What does elevated levels of alanine aminotransferase indicate? (3)
- Cirrhosis
- Hepatitis
- Biliary obstruction
What is mildly elevated levels of alanine aminotransferase associated with?
Liver metastases
What is the normal range of alanine aminotransferase?
1-45 U/L
AST
Aspartate aminotransferase
Aspartate aminotransferase
Enzyme present in many kinds of tissue that is released when cells are injured or damaged
- levels are proportional to the amount of damage there is the time between injury and testing