Disorders of liver, gallbladder, pancreas
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| bilirubin | product of the normal breakdown of old res blood cells in the liver
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| hepatitis | inflammation of the liver
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| what are the types of hepatitis | a,b,c,d,e,g non infections
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| Hep A tramission route ?incubation period? | fecal oral route , via water, food medical equipment 3-5 wks
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| what phase is characterized by jaundice , light clay stool and dark urine las 2-4 weeks | icteric phase
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| name the phases of Hepatitis and hoyw long they last | preicteric phase 1-21 days, icteric phase 2-4 wks, posticteric phase several months
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| with chronic hepatitis symptoms persist for more than | 6 months
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| what kind of drugs are contraindicated with Hepatitis | hapatoxic drugs
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| which vaccines are available for hepatitis | A & B
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| what is cirrhosis | chronic progrssive disease of the liver , degeneration and destruction of the liver cells
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| who is highest at risk for cirrhosis | hispanics
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| early stafe s/s of cirrhosis | wgt. loss, unexplained fever , fatigue dull heaviness in r upper ab.
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| ascites is | accumalation of fluid in the peritoneal cavity
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| heaptic encephalopathy | failing liver unable to detoxify ammonia
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| ammonia | by product of protein metabolism
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| excess ammonia cause | neurologic sysptoms - if not corrected can lead to hepatic coma
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| hepatorenal syndrome | renal failure in the cirrhosis patient
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| pathology of cirrhosis | alcoholic liver disease or viral infection
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| diet for cirrhosis | high carb, vit. and moderate to high protien unless ammonia level is high then restrict protein
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| paracentesis | removal of the ascitic fluid in peritoneal cavity
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| rapid removal of ascitic fluid can result in | circulatory colapse
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| cancer of liver s/s | liver enlarge, wgt. loss, anorexia, N&V dull pain in upper R quad.
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| to prevent rejection of liver transplant | life long therapy is neeeded
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| cholecystitis is | inflammation of the gallbladder
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| what are the 5 f's | female, fat, fair, forty, fertile
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| gallstones present in gallbladder | cholelithiasis
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| s./s of cholecystitis | severe pain, fever,jaundice. symptoms reoccur about 3 hr after meal
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| bilirubin excreted in the urine appears | dark amber color
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| absence of urobilinogen in stool causes stool to be | clay colored
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| vit. k def. interferes with mormal blood clotting cause pt. to ? | patient bleeds eaily and bruises
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| N&V are present pt. is at risk for | fluid and electrolyte imbalances
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| endocrine and exocrine functions is what gland | pancreas
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| pancreatitis | is infammation of the pancreas
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| s/s of pancreatitis | pain on the upper left quad.or epigastric region , severe vomit, flushing , cyanosis, and dyspnea accompany with pain
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| s/s of shock , what is the late sign | restlessness, and tackycardia , late sign hypotension
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| the most important diagnostic findings of pancreatits is | serum amylase, serum lipase,and urinary amylase
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| treatment of pancreatitis includes | npo, iv fluids to restore and maintain fluid balance
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| pain control of choice i n pancreatitis | Demoral rather than morphine- morphine cause s spasms
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