Unit 3 Part 2

Question 1

what is to be said about tx for liver failure

Answer 1

unlikely unless dt hepatotoxicity

Question 2

what do we tx in liver failure

Answer 2

mnfts and complications

Question 3

tx options for liver failure

Answer 3

purgative
non absorbable abx
liver transplant

Question 4

what is a purgative in liver failure

Answer 4

strong laxative that cleanses bowel

Question 5

fx of purgative in liver failure

Answer 5

removes all ammonia (proteins) from bowel so the liver doesnt have to deal with it

Question 6

what is a non absorbable abx (LF)

Answer 6

abx not absorbed by CV. Absorbed by GI to kill bacteria that make ammonia and nitrogenous compounds

Question 7

cholelithasis

Answer 7

gall stones

Question 8

choleycstitis

Answer 8

inflm of liver

Question 9

ET of cholelithasis (5)

Answer 9

bile stasis
change in bile comp
inflm/debris
e.coli/ strep faecelisy
genetic susceptibilit

Question 10

how does bile stasis cause gall stones

Answer 10

inc percipitation formation with stasis

Question 11

what composition change of bile lt inc of gall stones

Answer 11

inc CHO, dec bile salts

Question 12

how does inflm/debris lt gallstones

Answer 12

inflm/debris acts as a nuclei for stone, this debris collects percipitate forming around hub

Question 13

how does E.coli/Strep faecelis lt gallstones

Answer 13

bact alters bile comp (idiopathic?) resulting in inc susceptibility for stones

Question 14

3 types of gallstones

Answer 14

cholesterol stones
pigment stones
mixed stones

Question 15

cho stones

Answer 15

large, round, yellow, smooth, glistening, occupy inc amount of bladder volume. dt bile with inc [CHO]

Question 16

what percent of stones are cho stones

Answer 16

80%

Question 17

pigment stones

Answer 17

pigmented stones with variety of types

Question 18

what contents make up pigmented stones

Answer 18

bilirubin (pigment) and inc ca+ salts

Question 19

what percent of pigmented stones are all bile stone

Answer 19

20%

Question 20

mixed stones

Answer 20

stones of various components

Question 21

when do mnfts of cholelithasis come up

Answer 21

it is asymptomatic until stone moves

Question 22

what happens when a stone migrates in cholelithasis

Answer 22

colicky, spasmodic pain, intermittent + radiating

Question 23

what is pain in cholelithasis dt

Answer 23

contraction of duct where stone is located

Question 24

other mnfts of cholelithasis then pain

Answer 24

NV dt GI mfnts + severe pain

Question 25

dx of cholelithasis

Answer 25

hx, px, exclude other issues

Question 26

tx of cholelithasis

Answer 26

pain
antiemetic IM for NV
dissolving agent
sx

Question 27

fx of dissolving agent

Answer 27

made of bile acid to dissolve stone

Question 28

name of a common dissolving agent

Answer 28

actigall

Question 29

what sx is common in cholelithasis

Answer 29

retrograde endoscopy

Question 30

how does retrograde endoscopy work

Answer 30

pulls stone into duodenum of they can reach it

Question 31

complications of cholelithasis

Answer 31

pancreatitis, perf of cut or gall bladder -> peritonitis rt chemical irritation