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Cirrhosis of liver
Cirrhosis
| Question | Answer |
|---|---|
| What is cirrhosis of the liver | chronic degenerative disease of the liver, scar tissue restricts blood flow to the liver. |
| laennec's cirrhosis | history of chronic ingestion of alcohol |
| Postnecrotic cirrhosis | viral hepatitis, exposure to hepatotoxins or infection |
| Primary Biliary cirrhosis | destruction of the bile ducts |
| Secondary Biliary cirrhosis | chronic biliary tree obstruction (gallstones, tumor, etc.) |
| Cirrhosis reduces the livers ability to metabolize what | albumin |
| Can cause obstruction of and also increased pressure in the veins that drain the gi tract | portal vein |
| Increased venous pressure in the portal circulation caused by compression or occlusion in the portal or hepatic vascular system is called | Portal Hypertension |
| Accumulation of fluid and albumin in the peritoneal cavity is called | Ascites |
| Brain damage due to elevated ammonia levels , inappropriate behavior, disoreintation, flapping hand tremors, twitching of the extremities, stupor, and coma are called what | Hepatic Encephalopathy |
| What are some symptoms of the early stages of cirrhosis | abdominal pain, liver is firm and easy to palpate |
| What are some symptoms of later stages of cirrhosis | dyspepsia, changes in bowel habits, nausea and vomiting, gradual weight loss, ascites, enlarged spleen, spider angiomas, anemia, bleeding tendencies, nose bleed (epistaxis), purpura, hematuria, bleeding gums, jaundice and mental disorientation |
| Treatment for cirrhosis | eliminate cause, alcohol, environmental exposure etc... |
| Patients with cirrhosis need a well balanced diet, high calorie (2500 to 3000 cal/day), low fat, low sodium (1000 to 2000 mg/day), supplemental vitamins and folic acid and | moderate protein 75g/day |
| Patients with cirrhosis can also be treated with____________ for nausea | antiemetics, such as benadryl, and dramamine |
| what medications are contraindicated for cirrhosis | vistaril, compazine, and atarax |
| Ascites are a possible complication of cirrhosis, what are some treatments for this | bedrest, strict i&o, restrict fluids 500-1000 cc/day, restrict sodium 1000-2000 mg/day, diuretics (aldactone, lasix, HCTZ), vitamin suppl. k,c,and folic acid. LeVeen Peritoneal jugular shunt, and or paracentesis |
| Ruptured Esophgeal Varices is another possible complication of cirrhosis describe the treatments for it | maintain airway, establish iv, vasopressin drip to control bleeding, sengstaken-blakemore tube, endoscopic sclerotherapy, portacaval shunt (divert blood from portal vein to infer. vena cava) and blood transfusion |
| Complication of cirrhosis which requires a decrease in protein in the diet, avoidance of drugs detoxified by the liver,lactulose (oral or retention enema (decreases bowel ph), neomycin (decrease ammonia production) is called | Hepatic Encephalopathy |
Created by:
dallen_71
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