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26 Cards in this Set

  • Front
  • Back

increase AST

hepatic cell destruction: hepatitis

increase LDH


hepatic cell destruction

increase alkaline phosphatase

obstructive jaundice


hepatic metastsis

Increase serum total billirubin

hepatic cell disease

increase serum direct concogated bili

hepatitis, liver metastaidsis

Increase serum indirect ucongated bili

cirrohosis

Increase urine bili

hepatoceulluar obstruction


viral or toxic liver disease


hepatic dysfunction

increase urine urobilirubin, decreased fecal urobil

obstructive liver disease

increased serum total proteins

acute liver disease

decreased serum total protein

chronic liver disease

decreased serum albumin

severe liver disease

increased serum globulin

immune response to liver disease

increased serum ammonia

advanced liver disease or portal systemic encephalopathy

prolonged PT or INR

hepatic cell damage

Hep A transmission

tranmission through mouth


carrier: feces unless you touch


children, poor sanitation


there is a vaccine


self limiting

Hep B

blood and body fluids


carier: yes


chronic state: yes


vaccine: yes


drugs: yes and for C, but side effects


fatality, most people are asymptomatic


s/s"abdominal pain RIGHT UPPER Q, jaundice

Hepatitis

A E self limiting


BCD chronic disease


dx: presence of antigen on blood test


assessment: abd pain RUQ, lethargy, Nausea/v janudice

Hepatitis teaching

high carb and calories: small meals


limit drugs due to liver metab


tx: antiviral drug, depends on type, many s/s

Cirrohsis

irreversible scaring of the liver


causes: alc, hep BCD, biliary obstruction


dx: LFTs, coagulopathies, ultrasound

Liver function test components and what they are if they have cirrhosis

total protein decreased


albumin decreased


globulin increased


A/G lecture <1


ALT increased


AST > ALT

complications of cirrhosis

portal HTN


ascities


bleeding esophageal varices


coagulation defects


portal systemic encephalopathy


hepatorenal syndrome

Cirrohis interventions

diet therapy: low Na, thymine, folate, multivitamin bc liver can't store vitamins


drugs: K sparing, loop diuretic, beta blocker, excretion of ammonia, antibiotcs

Cirrohis nursing interventions for bleeding management

-very careful with NG tube placement


-esophagogastric balloon


-EGD, sclerotherapy or banding


-transjugular intrahepatic portal systemic shunt (sedation and place stent in portal vein)


-FFP, PRBC, platelets

Cirrhosis 2 things surgical

paracentesis: remove fluid accumulation with ascites


liver transplant

What key dx help determine what type of hepatitis is present

negative hep a virus: hep B surface titer


ALT, elk phos, LDH, AST, LFTs!!