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Chapter 6
GallBladder
44
Nursing
Undergraduate 1
07/18/2013

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Cards

Term
What are the liver functions
Definition
Detoxifies the drugs, storage f glucose, clotting factors, absorptions vitamins A,D,E,K
Term
What is the functions of Bile
Definition
Yellowish pigment causes jaundice
Term
what is the liver enzyme test with Cirrhosis patient?
Definition
ALT / AST
Term
Serum Protein test
Definition
albumin / Ascites
Term
How to check Intravenous cholangiography ( IV cholangiogram)
Definition
Check obstruction
Term
To assess the allergiies shellfish,iodine,seafood
Definition
Purpose of Dye.
Term
Initial of hypovolemic shock
Definition
Hypotention, tachycardia , tachypnea
Term
Lactulose
Definition
Hypokalemia
Term
E. Coli
Definition
Produced ammonia
Term
Neomycin
Definition
Anibiotics
Term
Asterixis
Definition
Extend of the arm, dorsiflex the wrist and extend the fingers .Observed for rapid nonrythmic extentions & flexions
Term
Diagnostic Test of Liver cancer
Definition
Liver scan, ultrasound ,ct scan , magnetic resonance imaging
Term
Hepatitis A
Definition
Shellfish, foods, oral
Term
Hep B
Definition
Blood transfusion, dialysis ,sexual intercourse
Term
Hep C
Definition
Contaminated needles & blood transfusion
Term
Hep E
Definition
Fecal contamination of water , rare in the US usually in develop countries.
Term
Hep D
Definition
Delta virus has something to do , co- infection with hep b
Term
Steatorrhea
Definition
Clay colored stool,lack of bile fatty stool
Term
Acute pain
Definition
Symptomatic
Term
Chronic pain
Definition
Wihout. Symptom
Term
Portal hypertension
Definition
Circulation impaired, High Bp /Ascites
Term
Esophagus
Definition
Its muscular tube with a lot of blood vessels
Term
Esophageal varices
Definition
Severe bleeding & Vomiting
Term
Hepatic Encephalopathy
Definition
Combative & confused
Term
Lactulose
Definition
Its a drug of choice in patient with cirrhosis has high of ammonia
Term
Four complications of Cirrhosis
Definition
Hepatic encephalopathy ,esophageal varies, portal hypertension,
Ascites. ( abdominal girth)
Term
Spider Angiomas
Definition
Common pregnant women, blood vessels dilate ,compensatory mechanism ,it heals by self
Term
Paracenthesis
Definition
To remove fluid from the patient abdomen ,Causes hypovolemia
Term
Vasopressin
Definition
Drug of choice if there's a bleeding with aspiration
Term
What are the diet for liver cirrhosis
Definition
Moderate protein ,low in sodium, well balance
Term
Jaundice
Definition
Too much bilirubin
Term
What are the causes of cholecystitis& cholelithiasis ( select that apply)
Definition
Pregnancy,forty years old, female,fats,fertile,diabetes,multiparous woman
Term
Nurses,as well as other health care providers , are at risk for hepatitis B .For prophylaxis to be most effective in these workers
Definition
Prophylaxis must be instituted before exposure
Term
Liver Neddle biopsy is a safe method of diagnosing pahologic liver conditions , including which nursing diagnosis?
Definition
Pain, related to leakage of blood and bile into the peritoneal cavity
Term
Liver Neddle biopsy is a safe method of diagnosing pahologic liver conditions , including which nursing diagnosis?
Definition
Pain, related to leakage of blood and bile into the peritoneal cavity
Term
A78 year old patient admitted with common bile duct obstruction related to cancer of the pancreas with clinical manifestation would the nurse expect to find SATA
Definition
Iscleral icterus, dark tea colored urine ,jaundice
Term
It is epecially important fr the patient to cough and breathe deeply post operatively following an open cholecystectomy because
Definition
The patient tends to take shallow breaths due to the placement of the incision
Term
In hepatic encephalopathy , when the nurse request that the patient stretch out the arm and hyperextend the wrist with fingers separated .relaxed & extended to see whether rapid , irregular flexion and extension ( flapping) of the wrist occur , the nurse is assessing for the presence
Definition
Asterixis
Term
The patient has advanced cirrhosis of the liver with an acute exacerbation of hepatic encephalopathy .What type of food might be limited in his diet?
Definition
A meats
Term
Patients with liver abscess are seen with vague sign & symptoms ,which are often
Definition
Fever accompanied by chills ,abdominal pain and tenderness in the RIght upper quadrant.
Term
A small number of patients who have had laparoscopic cholecystectomy report mild shoulder pain resulting from
Definition
Diagramatic irritation secondary to residual carbon dioxide
Term
The patient has been admitted with right upper quadrant pain and has been placed on a low -fat- diet ,which of th following trays would a. Acceptable for her
Definition
Skim milk, lean fish,tapioca ,pudding and fruit
Term
Hepatitis types BCD and G are spread mainly through the ff Slect that apply
Definition
Blood transfusion,contaminated needles and instruments ,direct contact with body fluids from infected people
Term
In patients with accused pancreatitis , the analgesic meperidine is no longer the opioids of choice of
Definition
It's toxic metabolite, nor meperidine which can cause seizures
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