Manifestations
First sign of Biliary Atresia
What is Jaundice?
What is the leading cause of liver disease in Canada?
Hepatitis Eh?
a patient comes into the ED complaining of 10/10 abd pain, slightly jaundiced, and tarry colored stools, The nurse should suspect that....
A. This patients has a lot of roughage in their diet
B. This patient may be taking too many over the counter medications
c. The patient has Hepatitis A
d. This patient took many iron supplememnts
B. This patient may be taking too many over the counter medications
Khers Sign, What Am I?
The occurrence of acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity.
Liver pâté
Liver pâté is a pâté and meat spread popular in Northern and Eastern Europe. Made from finely or coarsely ground pork liver and lard. Liver is an excellent source of both iron and vitamin B12, which work in combination to keep your blood cells in good working condition and helps with overall liver function. Liver is good for your Liver!
Causes of Nonalcoholic fatty liver disease (NAFLD)
Diabetes, Obesity, Elevated lipids, and genetics :(
Leading cause of cirrhosis & hepatocellular carcinoma worldwide. Mostly caused by IV drug use.
Hepatitis C
Common medication used to prevent rejection of Liver transplant?
What is Cyclosporine?
Most Common cause for Liver transplant is?
What is Cirrhosis??
Lights!!! Camera!!!! Liver!!!!
What are 3 main functions of the liver?
Protection, Metabolism, & Storage.
You've Been Rejected!
Signs of transplant rejection?
Pain in the RUQ or flank, fever, tachycardia, decreased bile, and jaundice.
A patient is diagnosed with Hepatitis. The nurse believes that the patient contracted the virus from contaminated food. The nurse explains to the student that which type of hepatitis is the most likely cause?
Hep A
Hep B
Hep C.
Hep D
Hepatitis A
Jamie the nurse accidentally stuck herself with a dirty needle, after injecting heparin into her patient who has a known history of hepatitis B. What should Jamie expect as part of her treatment regimen?
Administration of the hepatitis B immune globulin (HBIG).
Most common complication from liver biopsy is?
what is internal bleeding?
Give me your best SNot!
See if you can touch the tip of your nose with your tongue, if not pass the challenge along!
Patient presents to ED as a MVA. He is moaning and there is bruising across the upper portion of his abd. What should the nurse suspect and what interventions should they plan to do?
1st assess your patient, assess for abd tenderness, swelling, tightness
2nd get a set of VS
3rd get bloodwork (CBC/HGb/HCT, type and screen)
ensure you have working Iv's
is at most risk for developing into hepatocellular carcinoma?
What is Hepatitis B.?
what are important educational points the nurse should address with the patient starting medication for their Hepatitis B diagnosis?
Continue the full course of antibiotics.
Do not share antibiotics with others
immediately report signs of Jaundice, N/V, Icterus, abd pain, clay colored stools, or temperature greater than 101 F.
Maintain fluid intake of 2-3L/day
encourage adequate periods of rest
Elevated serum alpha-fetoprotein
tumor marker for cancer of liver, testis, and ovary
Hep Hep Hurray!
for the next 30 secs your team has to give me your best chicken dance :D
A female client with hepatitis C develops liver failure and GI hemorrhage. The blood products that would most likely bring about hemostasis in the client are:
A.Whole blood and albumin.
B. Platelets and packed red blood cells.
C. Fresh frozen plasma and whole blood.
D. Cryoprecipitate and fresh frozen plasma.
D. Cryoprecipitate and fresh frozen plasma.
The liver is vital in the synthesis of clotting factors, so when it’s diseased or dysfunctional, as in hepatitis C, bleeding occurs. Treatment consists of administering blood products that aid clotting. These include fresh frozen plasma containing fibrinogen and cryoprecipitate, which have most of the clotting factors. Although administering whole blood, albumin, and packed cells will contribute to hemostasis, those products aren’t specifically used to treat hemostasis. Platelets are helpful, but the best answer is cryoprecipitate and fresh frozen plasma.
In caring for a client with acute viral hepatitis, which task should be delegated to the nursing assistant?
Suggest diversional activities.
Empty the bedpan while wearing gloves.
Monitor dietary preferences.
Reports signs and symptoms of jaundice.
Empty the bedpan while wearing gloves.
The nurse knows that her patient that is hep b positive and on medications (uTenofovir (Viread) as core for her treatment should be aware of which side effects?
a.UOP < 700ml/day
b.UOP <25ml/hr
c.tea colored urine
d.UOP < 750 ml/day
e. elevated BUN and Creatinine
a.UOP < 700ml/day
b.UOP <25ml/hr
c.tea colored urine
e. elevated BUN and Creatinine
A client is suspected of having hepatitis. Which diagnostic test result will assist in confirming this diagnosis?
Decreased erythrocycle sedimentation rate
Elevated blood urea nitrogen level
Elevated serum bilirubin level
Elevated hemoglobin level
Elevated serum bilirubin level
Fun with Liver!!!
pick one person from each team, come up to the board and each will take a turn and draw a cartoon liver. the rest of the class will vote on best liver.