Management of LIver Disorders

Question 1

primary liver cancer tumor marker

Answer 1

AFP alpha feto protein

Question 2

marker for cancers of the GI tract

Answer 2

CEA - carcinogenic embryonic antigen

Question 3

gold standard for canter testing

Answer 3

biopsy. Risks, bleeding and seed spreading

Question 4

primary cancer of the liver

Answer 4

originates in the liver

Question 5

secondary cancer of the liver

Answer 5

metastasized

Question 6

nursing care focus after surgery for liver cancer

Answer 6

PAIN, hemodynamic stability (bleeding), maintain patency of biliary drains

Question 7

the surgeon deplys electrodes from a probe which deliver radiofrequency and high heat to destroy tumor cells

Answer 7

radiofrequency ablation

Question 8

liver is highly vascular so always assess for

Answer 8

bleeding

Question 9

arterial blood supply to tumor is injected with chemo. ebmolic substances destroy blood supply to the tumor

Answer 9

arterial chemoembolization

Question 10

only can do liver transplant if not?

Answer 10

metastisized

Question 11

model for end stage liver disease score (MELD)

Answer 11

has various numbers for bili, INR, serum creatinine etc. values determine a score

Question 12

donar recipents must be

Answer 12

available at all times, monitored, medication complience

Question 13

high HR, low BP, low urine output, signs of

Answer 13

bleeding

Question 14

S/S tachycardia, fever, RUQ pain, decreased drainage from biliary tubes, elevated liver enzymes

Answer 14

signs of rejection

Question 15

Meds for post op

Answer 15

anti inflammatory and immunosuppression meds, steriods, tacrolimus, cyclosporin

Question 16

amebic: entamoeba histolytica and pyogenic: cholangiitis, trauma

Answer 16

liver abscess