RUQ Pain Flashcards

1
Q

When protein is digested…

A

waste product is ammonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

1st function of the liver

A

Degradation of protein into ammonia and urea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ammonia is…

A

carried to the liver , liver turns ammonia into urea , urea is dumped by kidneys as BUN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

If you have liver failure can you process ammonia?

A

No you cannot process the ammonia into urea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the urea and ammonia levels in liver failure

A

Ammonia will rise

Urea will drop (low BUN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Ammonia crosses blood brain barrier…

A

Encaphalopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What bedside test can you run with LF?

A

Liver Flap (the hand wont stay up)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Tx for high ammonia

A

Lactulose - absorb in intestine - disregard

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

2nd function of the liver

A

The liver takes protein and processes it into albumin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Albumin carries

A

thyroid hormones
fatty acids
protein for steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Low Albumin fluid?

A

LEAKS

Edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Low albumin?

A

Fluid leaks - edemitous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hepatic hypertension causes?

A

Fluid to leak around the liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Albumin has a half life of?

A

3 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

So if albumin has such a short half life and the pt develops edema etc?

A

They’ve been at it for awhile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tx for acitis?

A

Paracentesis

IV albumin

17
Q

3rd thing liver does..

A

Has clotting factors

18
Q

Tx for clotting factor problems with liver disease

19
Q

What does the liver do to dead RBCs?

A

Taken to the liver and it converts the dead RBCs and breaks them down - waste product is bilirubin

20
Q

How does bilirubin leave?

A

Leaves the liver after it is produced run down and mix with stool

21
Q

What causes bilirubin stool to be brown?

A

When the bilirubin waste mixes with the stool the bacteria of the intestine turns it brown

22
Q

What color is the stool without bilirubin (liver failure)

A

Clay or Grey

23
Q

Where does bilirubin first show up in liver failure?

A

The urine (cola color) - If you shake urine sample it would get foamy/frothy at the top

24
Q

After bili shows up in urine where else will it show?

A

Elastic Tissue - Sclera

25
Last place for bili to show up
Jaundice of the skin
26
2nd function of liver
Takes protein and processes it into albumin
27
Albumin functions..
Acid base balances Carries calcium, hormones, enzymes around the body Keeps fluid in your bloodstream (Keeps fluid in the vasculature)
28
Low Albumin fluid?
LEAKS Edemous