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