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10 Cards in this Set
- Front
- Back
4 types of Cirrhosis
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Alcoholic
Postnecrotic Biliary Cirrhosis Cardiac Cirrhosis |
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Late s/sx of Cirrhosis
(Decreased liver size scar Tissue) |
Ascites d/t decreased albumin
Jaundice Spider angioma gastrointest. varices edema anemia Clotting dysfunct. Pruritus d/t accumulation of bile salts Hepatic encephalophy or coma |
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What are some Clinical Manifestations of Hepatic Coma
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Neuro: Disoriented,confusion,personality changes,memory loss, Dec.loc,dec. motor activity,
Positive Babinski reflex Seizures Asterixis or flapping tremor of the hands. EEG slowing brain waves breath odor SULFUR |
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What is the goal of medical management?
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Decrease Ammonia level
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What is given to Dec. ammonia level
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Lactulose
the lactulose traps the ammonia in the intestine. |
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Diet for hepatic coma (if pt can eat)
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high-carb,low-protein,low fat
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What is the best position for pt w/ hepatic coma
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semi-fowler's or fowler's supporting arms w/ pillows.
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if pt. is on lactulose what labs should be monitored.
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sodium and potassium
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Cholecystitis
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acute inflammation and infection of the gallbladder
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when eating fatty foods what hormone is secreted by the small intestines?
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cholecystokinin
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