Nurse Practitioners in Primary Care
II | Latest - Wilkes
Question:
Renal failure causes
Answer:
Metabolic acidosis
Hypovolemia
Mechanical ventilation
Surgery
Myoglobinuria
,Question:
Renal failure treatment
Answer:
Diet
Low sodium and low protein.
Fluid management.
Anti hypertensives.
Renal replacement therapies.
Dialysis.
Kidney transplant.
Question:
Cirrhosis Definition:
Answer:
The end-stage of liver disease characterized by irreversible scarring
(fibrosis) of the liver. The scar tissue replaces healthy liver tissue,
disrupting the organ's structure and function.
,Question:
Cirrhosis can progress to:
Answer:
Portal hypertension,
Ascites, Hepatic encephalopathy,
Liver cancer,
Liver failure.
Question:
Cirrhosis Common causes
Answer:
Alcohol-related liver disease
MASLD
Hep C.
, Question:
Cirrhosis DX
Answer:
PE, blood tests (FIB- 4 index, LFTs, albumin, bilirubin, INR), and imaging
studies (transient elastograp (fibroscan to assess liver stiffness) ultrasound,
MRI).
A liver biopsy is the gold standard for confirming the diagnosis but is not
always necessary.
Question:
Cirrhosis Tx Goals
Answer:
managing complications and slowing the progression of the disease.
-no cure
Question:
Key Takeaway: Cirrhosis
Answer:
Irreversible condition, focus on managing complications. Early Dx and Tx of
the underlying cause are critical to prevent or slow its progression.
Regular screening for liver cancer with US.