13 - Liver and Pancreas Dysfunction (part 2) Flashcards Preview

Med Surg P.P.'s > 13 - Liver and Pancreas Dysfunction (part 2) > Flashcards

Flashcards in 13 - Liver and Pancreas Dysfunction (part 2) Deck (12):
1

Liver is unable to detoxify toxic byproducts of metabolism.  Ammonia is the major etiologic factor of encephalopathy.  Major S/S is asterixis (liver flap), which is flapping tremor of the hands.

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Hepatic Encephalopathy

2

Large ecchymosis appearing in the flanks as a result of pancreatitis.

a.) Grey Turner's Sign

b.) Cullen's Sign

Grey Turner's Sign

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3

Increased pressure through portal venous system because of a blockage.  Obstructed blood flow through damaged liver.  Causes GI bleeding (black tarry stool and hematemesis), encephalopathy, coagulopathy, and ascites.

Portal Hypertension

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4

Systemic, viral infection that causes necrosis and inflammation of liver cells.  Altered liver function.

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Viral Hepatitis

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5

Autodigestion of the pancreas by pancreatic enzymes.  Cellular destruction and organ damage.  The pancreas eats itself.

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Pancreatitis

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6

Onset is abrupt.  Early symptoms include fever, chills, rash, arthralgia, pruritus, and anorexia.  Late symptoms include Jaundice, dark urine, and an enlarged/tender liver.  Treatment includes short course of high-dose corticosteroids, rest, small/frequent meals, a low protein, fat, and high carbohydrate diet.  IV fluid containing dextrose as needed.

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Drug Induced Hepatitis

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7

One of the main S/S of pancreatitis is pain.  

1.) Which specific type of pain?

(3 parts to answer)

Mid epigastric pain, radiating to the midback.  

Pain does not decrease even with vomiting.

Rebound tenderness

8

What type of diet do you want patients with pancreatitis to have?

Low fat, protein, and high carbohydrate diet.

9

Backup of venous blood flow from portal HTN.  Failure to metabolize aldosterone.  Accumulation of albumin-rich fluid.

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Ascites

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10

What are the three main lab values looked at when diagnosing pancreatitis?

Lipase, Amylase, & BMP.

C-reactive protein is elevated

11

Ecchymosis in the umbilical area as a result of pancreatitis.

a.) Grey Turner's Sign

b.) Cullen's Sign

Cullen's Sign

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12

Resembles viral hepatitis, but is caused by exposure to toxic chemicals (medications, botanicals, alcohol, and/or industrial chemicals).  Treatment includes removal of the causative agent.  S/S include anorexia, N/V, Jaundice, and hepatomegaly.  There are no effective antidotes, and a delay in treatment can result in increased severity.

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Toxic Hepatitis

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