week 4

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Author:
thaoherbie
ID:
202304
Filename:
week 4
Updated:
2013-03-05 21:30:58
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nursing
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nursing
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  1. ascites p.1075
    • accumulation of serous fluid in the peritoneal or abdominal cavity
    • •Manifestations:

    –weight gain

    • –Abdominal distention
    • - Umbilicus may protrude

    –abdominal striae

    –distended abdominal wall veins

    –dehydration with decrease urinary output

    –Dyspnea – upward pressure on diaphragm

    –Risk for Peritonitis and Sepsis
  2. cholangitis
    inflammation of bile ducts (carry bile from liver to gallbladder & intestine)
  3. cirrhosis
    chronic, degenerative liver disease where normal hepatocytes are damaged and replaced by scar tissue
  4. hepatic encephalopathy 1076
    a condition, usually occurring secondarily to advanced liver disease, marked by disturbances of consciousness that may progress to deep coma (hepatic coma), psychiatric changes of varying degree, flapping tremor, and fetor hepaticus.
  5. ERCP
    • Endoscopy Retrogate Cholangiopancreatography
    • an endoscopic test that provides radiographic visualization of the bile and pancreatic ducts. A flexible fiberoptic duodenoscope is placed into the common bile duct. A radiopaque substance is instilled directly into the duct, and serial x-ray films are taken. It is useful in identifying partial or total obstruction of these ducts, as well as stones, benign strictures, cysts, ampullary stenosis, anatomic variations, and malignant tumor
  6. Endocrine gland
    includes the pituitary, thyroid, parathyroid and adrenal glands, gonads, pancreas and paraganglia.
  7. exocrine gland
    one whose secretion is discharged through a duct opening on an internal or external surface of the body such as a sebaceous gland or sweat gland, lacrimal gland
  8. hepatitis
    inflammation of the liver
  9. hypoalbuminemia
    abnormally low level of albumin in the blood
  10. hemolytic jaundice
    • due to increased breakdown of RBCs -> increased amt of unconjugated bilirubin in the blood
    • causes: transfusion reactions, sickle cell crisis, hemolytic anemia
  11. hepatocellular jaundice
    • liver's altered ability to take up bilirubin in the blood or to conjugate or excrete it
    • causes: hepatitis, cirrhosis, hepatocellular carcinoma
  12. obstructive jaundice
    • decreased or obstructed flow of bile through the liver or biliary duct system.
    • causes: common bile duct obstruction from stone, biliary strictures, sclerosing cholangitis, pancreatic cancer
  13. azotemia
    excess urea or other nitrogenous compounds in the blood
  14. icterus
    the yellow coloration of skin and mucus membranes of jaundice.
  15. paracentesis
    needle drainage of fluid from a body cavity, most commonly the peritoneal cavity in the abdomen.
  16. paralytic ileus
    another name for Intestinal obstruction which is a partial or complete blockage of the bowel that prevents the contents of the intestine from passing through.
  17. spider angioma
    containing a central red spot and reddish extensions which radiate outwards like a spider's web.
  18. telangiectasis
    small dilated blood vessels near the surface of the skin or mucous membranes, measuring between 0.5 and 1 millimeter in diameter. They can develop anywhere on the body but are commonly seen on the face around the nose, cheeks, and chin.
  19. varices
    distended veins

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