Manifestations
First sign of Biliary Atresia
What is Jaundice?
What is the leading cause of liver disease in Canada?
Hepatitis Eh?
A patient presents to the emergency department with 10/10 abdominal pain, slight jaundice, and tarry-colored stools. Upon further questioning, the patient reports taking large doses of over-the-counter (OTC) medication for pain relief over the past week. Based on the symptoms and history, the nurse should suspect that the patient may have experienced toxicity from which of the following medications?
A) Ibuprofen (Advil)
B) Acetaminophen (Tylenol)
C) Aspirin (Bayer)
D) Diphenhydramine (Benadryl)
What is Acetaminophen (Tylenol)
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. She is previously vaccinated. What should Jamie expect as part of her treatment regimen?
Administration of the hepatitis B immune globulin (HBIG) and The Hep B booster.
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
A 35-year-old patient is diagnosed with Hepatitis B and is being educated by the nurse about the disease and its management. Which of the following statements by the patient indicates a need for further teaching?
A) "I should avoid sharing personal items, such as razors or toothbrushes, to prevent spreading Hepatitis B."
B) "I can continue to drink alcohol in moderation, as long as my liver function tests are normal."
C) "I need to follow up regularly with my healthcare provider to monitor my liver health."
D) "I should inform anyone I have close contact with about my Hepatitis B diagnosis to prevent transmission."
B) "I can continue to drink alcohol in moderation, as long as my liver function tests are normal."
what are important educational points the nurse should address with the patient starting medication for their Hepatitis B diagnosis?
Continue the full course of antiviral therapy.
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 gastrointestinal (GI) hemorrhage. The nurse anticipates that the blood products most likely to bring about hemostasis in the client would be:
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
Correct Answer: C) Fresh frozen plasma and whole blood.
Fresh frozen plasma (FFP) contains clotting factors that are deficient in liver failure and would help in controlling bleeding. Whole blood contains red blood cells, plasma, and platelets, which are beneficial in a situation involving liver failure and GI hemorrhage due to the presence of clotting factors and the need to support overall hemodynamics.
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 Tenofovir (Viread) as core for her treatment should be aware of which side effects?
A) Peripheral edema and weight gain
B) Renal toxicity and bone mineral density loss
C) Tachycardia and hypertension
D) Nausea and headache
What is Renal toxicity and bone mineral density loss
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.