Unit 3 Part 2 Flashcards Preview

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Flashcards in Unit 3 Part 2 Deck (31):
1

what is to be said about tx for liver failure

unlikely unless dt hepatotoxicity

2

what do we tx in liver failure

mnfts and complications

3

tx options for liver failure

purgative
non absorbable abx
liver transplant

4

what is a purgative in liver failure

strong laxative that cleanses bowel

5

fx of purgative in liver failure

removes all ammonia (proteins) from bowel so the liver doesnt have to deal with it

6

what is a non absorbable abx (LF)

abx not absorbed by CV. Absorbed by GI to kill bacteria that make ammonia and nitrogenous compounds

7

cholelithasis

gall stones

8

choleycstitis

inflm of liver

9

ET of cholelithasis (5)

bile stasis
change in bile comp
inflm/debris
e.coli/ strep faecelisy
genetic susceptibilit

10

how does bile stasis cause gall stones

inc percipitation formation with stasis

11

what composition change of bile lt inc of gall stones

inc CHO, dec bile salts

12

how does inflm/debris lt gallstones

inflm/debris acts as a nuclei for stone, this debris collects percipitate forming around hub

13

how does E.coli/Strep faecelis lt gallstones

bact alters bile comp (idiopathic?) resulting in inc susceptibility for stones

14

3 types of gallstones

cholesterol stones
pigment stones
mixed stones

15

cho stones

large, round, yellow, smooth, glistening, occupy inc amount of bladder volume. dt bile with inc [CHO]

16

what percent of stones are cho stones

80%

17

pigment stones

pigmented stones with variety of types

18

what contents make up pigmented stones

bilirubin (pigment) and inc ca+ salts

19

what percent of pigmented stones are all bile stone

20%

20

mixed stones

stones of various components

21

when do mnfts of cholelithasis come up

it is asymptomatic until stone moves

22

what happens when a stone migrates in cholelithasis

colicky, spasmodic pain, intermittent + radiating

23

what is pain in cholelithasis dt

contraction of duct where stone is located

24

other mnfts of cholelithasis then pain

NV dt GI mfnts + severe pain

25

dx of cholelithasis

hx, px, exclude other issues

26

tx of cholelithasis

pain
antiemetic IM for NV
dissolving agent
sx

27

fx of dissolving agent

made of bile acid to dissolve stone

28

name of a common dissolving agent

actigall

29

what sx is common in cholelithasis

retrograde endoscopy

30

how does retrograde endoscopy work

pulls stone into duodenum of they can reach it

31

complications of cholelithasis

pancreatitis, perf of cut or gall bladder -> peritonitis rt chemical irritation