Term
| the hepatic system has dual blood supply from.. |
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Definition
| the portal vein and hepatic artery |
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Term
| when bone marrow production is insufficienct, the liver will.. |
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Definition
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Term
| the liver stores which vitamins? |
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Definition
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Term
| describe the gall bladder.. |
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Definition
| its hollow, pear shaped, and stores bile produced by the liver and then secretes it |
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Term
| before a fecal fat test.. tell the patient to.. |
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Definition
| eat lotsa fats! so it comes out in the poop and NO alcohol |
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Term
| what is a cholangiography? |
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Definition
| invasive, radiopaque dye is injected through a catheter- radiographic examination of the biliary system |
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Term
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Definition
| encourage high-simple fat diet 1 day before the exam, PO after midnight, note PT allergies. AFTER: check injection site for bleeding |
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Term
| what reactions may occur from cholangiography |
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Definition
| facial flushing and throat irritation may occur |
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Term
| describe the process of a liver scan |
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Definition
| IV injection of a radioisotope, visual imaging of the distribution of blood throw through the liver. |
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Term
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Definition
| assess pt for delayed allergic reaction (hives and itching) |
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Term
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Definition
| endoscopic retrograde cholangiopancreatography- uses contrast medium and SCOPE- use to identify cause of obstructive jaundice. |
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Term
| things to check for in ERCP.. |
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Definition
| iodine allergy, sxs of respiratory depression, WITHHOLD FOOD til gag reflex returns, chk for urine retention |
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Term
| whats a percutaneous transhepatic cholangiography? |
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Definition
| used to evaluate cause of severe jaundice and diagnose obstruction-- fluorscopic exam of biliary ducts through use of contrast medium |
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Term
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Definition
| OSTOMY, cuts a hole to drain fluid |
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Term
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Definition
| incision into bile duct to remove stones |
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Term
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Definition
| surgical opening of the CBD to insert a T tube or cath for drainage |
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Term
| extracorporeal shock wave lithotripsy |
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Definition
| use of shock waves to fragment gallstones into small pieces to either be removed by endoscopy or be dissolved |
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Term
| post op care for pancreatic surgery (ectomy) |
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Definition
| perform blood glucose tests, and monitor for signs of hyperglycemia |
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Term
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Definition
| surgical anastomosis of the portal vein to the inferior vena cava that diverts blood from the portal system and decreases pressure |
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Term
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Definition
| surgical anastomosis of the splenic vein to the left renal vein that diverts blood from the portal system and decreases pressure |
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Term
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Definition
| inferior vena cava to the side of the superior mesenteric vein that diverts blood from the portal system |
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Term
| transjugular intrahepatic portosystemic shunt.. |
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Definition
| TIPS- shunt between the portal and systemic venous circulation using the right internal jugular vein and placement of a stent |
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Term
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Definition
| absent clotting factors when liver is dysfunctioning |
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Term
| you should measure what in a pt who gets a shunt? |
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Definition
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Term
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Definition
| bruiselike discoloration of the skin of the flanks |
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Term
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Definition
| irregular bluish hemorrhagic patches on the skin around the umbilicus |
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Term
| increased amylase is seen in.. |
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Definition
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Term
| with pancreatitis its especially important to monitor the |
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Definition
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Term
| what happens in cirrhosis? |
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Definition
| fibrotic changes cause obstrction of hepatic blood flow and nromal liver function, - causes portal hypertension- affects function of lvier |
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Term
| diagnostic test findings for cirrhosis |
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Definition
| metabolic acidosis, respiratory acidosis/alkalosis, proteinuria |
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Term
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Definition
| increased: AST ALT LD alkaline phosphate, ammonia, bilirubin, and DECREASED: albumin and total protein |
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Term
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Definition
| clay colored stool, dark urine, jaundice, splenomegaly, |
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Term
| posticteric stage includes.. |
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Definition
| resolution stage.. healing |
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Term
| diagnostic test findings in esophageal varices.. |
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Definition
| increased PT, decreased RBCS HB, and HCT - increased BUN, LD and AST |
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Term
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Definition
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Term
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Definition
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Term
| complications of pancreatitis.. |
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Definition
| hypovolemia from third spacing, |
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