Patho
This delivers blood to the liver from the GIT
What is Portal Vein?
ingested, inhaled or injected toxins
What are the non-viral causes of hepatitis?
Epigastric pain and flu like symptoms
What are symptoms of Hep A infection?
Elevated AST, ALT, and Bilirubin
What are the expected lab results for a pt with cirrhosis of the liver?
Keep HOB and foot of bed elevated
What is assisting a pt suffering from ascites with respiratory status by relieving pressure on the diaphragm?
The falciform ligament
What separates the right and left lobe of the liver
This lab value would indicate to the nurse the patient may be at high risk for hepatic encephalopathy.
What is elevated serum ammonia level?
Transmitted through blood and body fluids
What is hepatitis B & C?
Airway obstruction, scissors at bedside
What is a complication of a Sengstaken-Blakemore tube and what are the nursing precautions?
promoting rest
What are ways pts with hepatitis can decrease metabolic demands on the liver?
What are Kupffer cells
Elevated AST, ALT, alkaline phospatase, bilirubin, ammonia
What lab results would you expect to see in a pt with cirrhosis of the liver?
platelet count
What is blood test should the nurse be closely monitoring in a patient with fulminant viral hepatitis due to high risk for bleeding?
Asterixis
What is a clinical manifestation in cirrhosis signaling the nurse to a change in mental status?
soft toothbrushes and electric razors
What are ways to minimize risk for bleeding for cirrhosis pts?
65g/kg
How much glycogen can the liver store before it turns it fat and sends to adipose tissue?
decrease in plasma protein (albumin)
What is the cause for abnormal fluid shifts/3rd spacing in patients with cirrhosis of the liver?
IV drug use
What is common cause of Hep C?
Lactulose
What is the medication given to reduce ammonia levels in pt with cirrhosis of the liver?
bleeding gums, ecchymosis, epistaxix, and petechiae
What are signs of decreased clotting factors and Vit K deficiency?
450mL
Average amount of blood stored in the liver
a potential complication of cirrhosis due to disturbance in formation of clotting factors
What is DIC?
do not skip or miss a dose of the medication without informing your doctor
What is an important patient teaching point in regards to antiviral medications for hepatis c?
What are beta-blockers, vasospressin or sandostatin?
restrict protein intake
What is way pt with cirrhosis can avoid raising ammonia levels?