liver, pancreas, gallbladder
Card Set Information
liver, pancreas, gallbladder
An increase in bilirubin causes what symptom?
What gerontolical considerations need to be considered involving the liver?
medication metabolism is decreased
decrease in size and weight
decrease in hepatic blood flow
In viral hepatitis, what should be expected with palpation of the liver?
In alcoholic hepatits, what should be expected with palpation of the liver?
After a liver biopsy, what nursing interventions is most important?
Turn patient to right side (must remain for 4 hours)
An acute or chronic inflammation of the gallbladder, usually associated with a gallstone impacted in teh cystic duct, causing painful distention of the gallbladder
What is the most common cause of portal hypertension?
Obstruction caused by cirrhosis of the liver
_______ becomes evident when the bilirubin level exceeds 2.5 mg/dL
________ jaundice is caused by cirrhosis or hepatitis
______ jaundice is a result of increased destruction of red blood cells
______ jaundice is caused by occlusion of the bile duct either from a gall stone, tumor, or enlarged organ. Stools are clay colored.
What drug is usually given when patient has Ascites?
Aldactone (diuretic therapy)- given b/c it is potassium sparing
What is the goal of dietary modification in the patient with ascites?
achieve a negative sodium balance
use salt substitutes (very high in potassium)
______ occurs with profound liver failure
_____ results from accumulation of ammonia and other toxic metabolites in the blood
______ is considered to be the major etiologic factor in the development of encephalopathy
What levels will be sky high in hepatic encephalopathy?
What does lactulose do?`
Increases excretion of ammonia in the stool
Fecotr hepaticus (sweet, fecal odor to breath), asterixis (flapping temor of the hands), and AMS are all s & s of _________
What are the side effects of lactulose?
Intestinal bloating and cramping
Potential for skin break down (due to diaper)
What sign is monitored because it may indicate medication overdose when taking lactulose?
Watery diarrheal stools
What nutrtional guidelines do you need to give patient who has hepatic encephalopathy?
Reduce dietary protein to 20 g/day
matain low protein, high calorie diet
what complication can you think of related to balloon tamponade?
- patient is already vomiting
Where do you get hepatitis A from?
Where do you get hepatitis B,C, and D from?
Where do you get hepatitis E from?
______ stores bile. You need to be near bathroom if you eat high fat content foods
_________: n & v, pain in the midsternal area of the right shoulder.
cholecystitis (inflammation of the gallbladder)
The 4 F's are risk factors for what? (fat, forty, flatulent, female)
What type of vegetable is high in vitamin K?
dark green leafy
When do we instruct patients to avoid dark green leafy vegetables?
When taking coumadin
________: patient presents with pain, sometimes jaundie, stool is clay colored or like putty
In which procedure are gallstones visualized and removed?
ERCP: endoscopic retrograde cholangiopancreatography
What nutritional teaching do you need to provide for patinet with cholelithiasis?
Low fat diet, no eggs, cream, pork fried foods, cheese rich dressing, gas forming vegetables, alcohol
How long does the procedure take to dissolve gallstones?