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pharm - hepatic dz
pharm t6
7
Pharmacology
Graduate
04/22/2010

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Cards

Term
what determines that ascities is from a hepatic source?
Definition
albumin >1.1g/dL = portal HTN
Term
Tx for ascities:L
Definition
1. salt restriction
2. spirolactone/furosimide (100:40)QAM
Term
max weight loss per day for edematous/non-edematous patient:
Definition
edematous: 1kg/d
non-edematous: 0.5kg/d
Term
1st line tx for hepatic encephalopathy/dose:
Definition
lactulose (20-30g PO q1-2h until 2-3 soft stools a day- usually occurs at 60-100g
Term
indications for prophylaxis against esophageal varicies:
Definition
1. no variceal no prophylax
2. small varices w > risk of hemorrhage - consider prophylax
3. med to large varices - use medication or ligation
Term
tx for variceal prophylax:
Definition
1. beta blocker - propanalol till HR is about 55 - use indefinately
Term
3 causes of altered drug exposure in cirrhosis:
Definition
1.
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