Ch 41, Med-Surg
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Chronic, progressive liver disease | Cirrhosis
🗑
|
||||
| Accumulation of excess fluid in the peritoneal cavity | Ascites
🗑
|
||||
| Removal of ascetic fluid from the peritoneal cavity | Paracentesis
🗑
|
||||
| enlargement of the liver | Hepatomegaly
🗑
|
||||
| removal of the gallbladder | cholecystectomy
🗑
|
||||
| presence of gallstones in the gallbladder | cholelithiasis
🗑
|
||||
| obstruction in common bile duct | choledocholithiasis
🗑
|
||||
| excess fat in stool | steatorrhea
🗑
|
||||
| enlargement of breast tissue in males | gynecomastia
🗑
|
||||
| organ where bile is produced | liver
🗑
|
||||
| specialized reticuloendothelial cells in the liver that ingest old red blood cells and bacteria | Kupffer cells
🗑
|
||||
| passage that delivers bile to the small intestine from the gallbladder | common bile duct
🗑
|
||||
| a product of the normal breakdown of old red blood cells in the liver | bilirubin
🗑
|
||||
| the vessel that delivers blood from the aorta to the liver | hepatic artery
🗑
|
||||
| the vessel that delivers blood from the intestine to the liver | portal vein
🗑
|
||||
| passage that delivers bile into the gallbladder for storage | cystic duct
🗑
|
||||
| organ where bile is stored | gallbladder
🗑
|
||||
| a procedure in which a radioactive substance is injected into a vein and visualized in a radiograph to reveal tumors and abscesses | liver scan
🗑
|
||||
| the use of sound waves to create an image of the liver, spleen, pancreas, gallbladder, and biliary system that is noninvasive and painless | ultrasonography
🗑
|
||||
| a procedure that involves removal of a small specimen of liver tissue for examination | liver biopsy
🗑
|
||||
| a primary complication of liver biopsy that occurs because of the liver's rich blood supply and potential for impaired coagulation | hemorrhage
🗑
|
||||
| a primary complication of liver biopsy that occurs if the lung is accidently punctured during the biopsy | pneumothorax
🗑
|
||||
| five body systems where clinical manifestations of cirrhosis occur | integumentary
hematologic
gastrointestinal
neurologic
🗑
|
||||
| manifestations of cirrhosis in the integumentary system | jaundice
spider angioma
palmar erythema
purpura
petechiae
caput medusae
🗑
|
||||
| manifestations of cirrhosis in the hematologic system | anemia
thrombocytopenia
leukopenia
coagulation disorders
spenomegaly
🗑
|
||||
| manifestations of cirrhosis in the reproductive system | amenorrhea
testicular atrophy
gynecomastia (male)
impotence
🗑
|
||||
| manifestations of cirrhosis in the gastrointestinal system | anorexia
dyspepsia
nausea & vomiting
change in bowel habits
dull abdominal pain
fetor hepaticus
esophageal and gastric varices
hematemesis
hemorrhoidal varices
congestive gastritis
🗑
|
||||
| manifestations of cirrhosis in the neurologic system | hepatic encephalopathy
peripheral neuropathy
asterixis
🗑
|
||||
| liver enlarges, becomes "knobby" and shrinks later | alcoholic cirrhosis (Laennec's disease)
🗑
|
||||
| obstructive cirrhosis that develops as a result of obstruction of bile flow | biliary cirrhosis
🗑
|
||||
| results from venous congestion and hypoxia | cardiac cirrhosis
🗑
|
||||
| results in leaking of lymph fluid and albumin-rich fluid from the diseased liver (fluid accumulated in the peritoneal cavity) | Ascites
🗑
|
||||
| renal failure following diuretic therapy, paracentesis, or GI hemorrhage | hepatorenal syndrome
🗑
|
||||
| caused by excessive ammonia in the blood resulting in cognitive disturbances | hepatic encephalopathy
🗑
|
||||
| may cause fatal hemorrhage | esophageal varices
🗑
|
||||
| development of collateral vessels | portal hypertension
🗑
|
||||
| if the lung is accidently punctured and air escapes into the pleural cavity and into the lung on the affected side collapses | pneumothorax
🗑
|
||||
| three phases of hepatitis progression | 1. preicteric
2. icteric
3. posticteric
🗑
|
||||
| common findings in the preicteric phase | malaise, severe headache, right upper quadrant abdominal pain, anorexia, nausea, vomiting, fever, arthralgia, rash, enlarged lymph nodes, urticaria, and enlargement and tenderness of the liver
last 1-21 days
🗑
|
||||
| common findings in the icteric phase | jaundice, light-clay colored stools, dark urine, puritus, GI symptoms are preictric phase are persistent
increased in blood levels of bilirubin
last 2-4 weeks
🗑
|
||||
| common findings in the posticteric phase | fatigue, malaise and liver enlargement persist for several months
🗑
|
||||
| two elements for coagulation synthesized by the liver | prothrombin and fibrinogen
🗑
|
||||
| after liver biopsy what are important nursing assessments | assess site for bleeding, watch for systemic bleeding.
have patient remain on right side for 2 hours to maintain pressure
🗑
|
||||
| treatment for hepatic encephalopathy | lactulose and neomycin
laxative decreased absorption of ammonia from injected protine and antibiotic reduces bacteria in bowel needed for ammonia production
🗑
|
||||
| what caused hepatic encephalopathy | high ammonia levels; damaged liver stops converting ammonia from proteins into urea, also digested blood produces ammonia
🗑
|
||||
| treatment only completed by a dr to treat bleeding varices | Sengsaken-Blakemore esophageal-gastric balloon tube (3 lumen NGT) inserted to apply direct compression of vessels
🗑
|
||||
| predisposing factors of cholelithiasis (AKA gallstones) | 5 Fs
fat
forty
female
fertile
fair skin
🗑
|
||||
| gallbladder inflammation | cholecystitis
🗑
|
||||
| gallstones | cholelithiasis
🗑
|
||||
| Pancreatitis nursing interventions | Pain morphine or Dilaudid
antispasmodic drugs decrease motility
NPO/NGT suction-pancreas to rest, TPN
Calcium, replace Ca
Replace fluid & electrolytes
Endocrine & Enzymes
antibiotics - with fever
steroids corticosteroids during acute attacks
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
arogers74
Popular Nursing sets