Etiology/
Pathophysiology
Diagnostic Testing/Lab Values
Clinical Manifestation
Medical Management/Nursing Intervention
Patient Education/Discharge Instructions
100
Largest gland in the body.
What is the liver
100
True or False with cirrhosis of the liver do ammonia levels rise
What is True
100
A yellow discoloration of the skin and the sclera
What is jaundice
100
Medicines, such as spironolactone and furosemide, to help get rid of fluid that has built up in the belly and other parts of the body.
What is Diuretic
100
Which electrolyte should be limited for a patient with liver cirrhosis
What is sodium
200
Fibrosis of the liver, probably following central hemorrhagic necrosis, in association with congestive heart failure.
What is cardiac cirrhosis
200
What do nurses need to obtain from the patient for liver biopsy
What is a consent form
200
The leading cause of cirrhosis of the liver in the United States
What is chronic alcoholism
200
Procedure in which a needle is inserted through the abdominal wall to remove fluid from the abdominal cavity.
What is Paracentesis
200
Because ammonia is formed when protein is broken down by intestinal flora diet alterations are needed for hepatic encephalopathy including reducing this from the diet
What is protein
300
Type of cirrhosis associated with alcohol abuse.
What is Alcoholic or Laennec's Cirrhosis
300
A diagnostic test which is often the first assessment ordered for a person with suspected liver disease to detect ascites, hepatomegaly, and spleenomegaly?
What is an ultrasound of the liver?
300
Degraded mental function, forgetfulness, unresponsiveness and trouble concentrating all stem from this
What is encepholapathy
300
These techniques may be used to treat and prevent variceal bleeding in the esophagus.
What is Endoscopic variceal banding or sclerotherapy.
300
Warn the patient against taking NSAID's to decrease the risk of
What is bleeding
400
End result of many chronic liver diseases.
What is Cirrhosis
400
It determines the exact pathology of liver disease and extent of disease progression.
What is Liver Biopsy?
400
Fragile, thin-walled esophageal veins that become distended and tortuous from portal hypertension.
What are Esophageal Varices.
400
Medicine that help prevent the buildup of ammonia and other natural toxins in the large intestine.
What is Lactulose
400
When it comes to patient teaching about activities the nurse should instruct the patient to
What is increase amount of rest periods
500
Major function of the liver.
What is Detoxification
500
Which lab value, if elevated, would the nurse recognize as potentially causing complications from liver disease?
INR
500
A sudden decrease in urinary flow, elevated BUN and Cr, and increased urine osmolarity.
What is hepatorenal syndrome (HRS)
500
This procedure can divert fluid from the abdominal cavity and may be used to treat ascites that does not respond to other forms of treatment.
What is transjugular intrahepatic portosystemic shunt (TIPS)
500
Vitamins added to IV solution that are frequently administered to preventing the serious complications of encephalopathy and DTs
What are thiamine (B1) and folate
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