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