Liver
Management for ascites caused by cirrhosis
paracentesis
How many types of hepatitis are there?
6
What is the most common cause of chronic pancreatitis
heavy, prolonged alcohol use
What is the murphy's sign
Pain on palpation of the RUQ upon deep inspiration
Pain in RUQ with extension to back or shoulder
Ascites
Anorexia
Weakness
SOB
Jaundice
Elevated LFTs, bilirubin
Dietary and lifestyle changes for patients with cirrhosis
Restrict protein, sodium, and fluid
No alcohol intake
No meds metabolized in the liver (tylenol)
Name 3 clinical manifestations of hepatitis
abdominal pain
irritability
pruritus
malaise
fever
nausea
vomiting
jaundice
3 clinical manifestations of acute pancreatitis
elevated HR and RR, low BP
pain
steatorrhea, clay-colored stools
nausea/vomiting
anorexia
3 ways to diagnose cholecystitis
ABD ultrasound
CT
HIDA scan
ERCP
What should patients that undergo a whipple procedure be monitored for postoperatively
insulin dependent diabetes
3 medications for cirrhosis patients
diuretics
potassium replacement
magnesium replacement
phosphate binder
Name 2 medications to treat hepatitis
interferon
harvoni
ribavirin
What is chronic pancreatitis
inflammation of the pancreas caused by autodigestion of the pancreas for a prolonged period of time
Treatment for cholecystitis
laparoscopic cholecystectomy
What type of treatment is less effective on its own when treating liver cancer
Radiation
3 possible complications of cirrhosis
Portal HTN
Esophageal varices
DIC - disseminated intravascular coagulation
Hepatic encephalopathy
hepatorenal syndrome
How long does acute hepatitis last
up to 6 months
What are two pancreatic enzymes that are elevated with acute pancreatitis
Amylase and lipase
What 3 labs can be elevated with cholecystitis
Liver enzymes
bilirubin
WBC
due to obstruction and inflammation
How is pancreatic cancer diagnosed
ultrasound
CT scan
MRI
ERCP
What is the treatment for biliary atresia
Kasai portenterostomy
Dietary recommendations for a patient with hepatitis
low in fat, high in fruits, vegetables and whole grains
3 nursing interventions for acute pancreatitis
NPO status
NGT to low suction
Pain meds
Antiemetics
Histamine blockers
Semi-Fowler's positioning
3 post cholecystectomy teaching instructions
low fat diet
s/s of infection
prevent constipation
What procedure is the treatment for pancreatic cancer in the head, neck, or uncinate process of the pancreas
Whipple procedure or pancreaticoduodenectomy