Week 6 GI & Nutrition Flashcards
Liver functions
- Detoxing ammonia & drug metabolism
- Storing glycogen
- Produces bile, coagulation factors, & albumin
Hepatitis
- Pathophysiology
- Causes
+ Virus/Toxin-induced - Diagnostic tests
Hepatitis A
- Route
- Rx factors
- Vaccine?
- Treatments
- Assessment
- Diagnosis
Hepatitis B
- Route
- Rx factors
- Vaccine?
- Treatments
- Assessment
- Diagnosis
Hepatitis C
- Route
- Rx factors
- Vaccine?
- Treatments
- Assessment
- Diagnosis
Hepatitis D
- Route
- Rx factors
- Vaccine?
- Treatments
- Assessment
- Diagnosis
Hepatitis E
- Route
- Rx factors
- Vaccine?
- Treatments
- Assessment
- Diagnosis
Acute Hepatitis
- Pathophysiology
- Assessment
- Nursing interventions
Chronic Hepatitis
- Pathophysiology
- Assessment
- Nursing interventions
Hepatitis v Cirrhosis
- Hepatitis
- Both
- Cirrhosis
Liver Cirrhosis
- Pathophysiology
- Causes
- Diagnostics
- Clinical manifestations
+ Early v late s/s
+ Portal HTN - Priority assessments & interventions
- Priority complications & interventions
- Miscellaneous complications
- Procedures
Liver Cirrhosis Med: Diuretics
Furosemide (Lasix)
- MOA: ↓Reabsorption of Na+ & H2
Spironolactone (Aldactone)
- MOA: Blocks aldosterone, K+ sparing
Liver Cirrhosis Med: Laxatives
Lactulose
- MOA
- Goal
- Loose stools?
Liver Cirrhosis med: Magnesium sulfate
- MOA: Corrects low Mg+
- ↓Rx torsades d/t hypomagnesemia
Liver Cirrhosis med: Neomycin sulfate & Rifamaxin (Xifaxan)
- MOA: ↓Bacterial flora & ammonia formation
Liver Cirrhosis med: PPIs
Protonix
- MOA: ↓Gastric acidity
Liver Cirrhosis med: Vitamin K
- MOA: Correct clotting abnlt’s from low Vit K levels
Acute Liver Failure
- Pathophysiology
- Causes
- Complications
Pancreatitis
- Acute v Chronic pancreatitis
- Causes
+ By gender - Pathophysiology
+ Etiology factors - Assessments
- Manifestations
- Diagnostics & labs
- Priority assessments & interventions
- Standard care bundle
- Complications
Pancreatitis med: Pain
- Morphine or Hydromorphone
- Ketorolac
Pancreatitis med: Antibiotics
Imipenem
Pancreatitis med: Histamine receptor antagonist
Cimetidine
- ↓Gastric acid secretion
- Varices PPX
Pancreatitis med: PPIs
Omeprazole
- ↓Gastric acid secretion
Pancreatitis med: Pancreatic enzymes
Pancrelipase
- Take w/ every meal & snack w/ full glass of water
- Life-long for CHRONIC pancreatitis
Enteral Nutrition (EN)
- Indications
- Nursing considerations
- Safety
Parenteral Nutrition
- TPN
- PPN
- TPN & PPN
+ Indications
+ Nursing considerations
+ Complications
