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NSG 231 Exam 2 Questions And Answers

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Cholecystitis ~ Acute or chronic inflammation of the gallbladder, most often caused by obstructution of biliary sludge Acute pancreatitis ~ Clients with this describe excruciating epigastric pain that radiates to the back, may be decreased by leaning forward or lying in a fetal position. Labs will show elevated serum amylase, elevated urine amylase & serum lipase, leukocytosis, increased Hct, Glucose, alkaline phosphatase & bilirubin may also be elevated. Turners sign ~ grayish discoloration of the flanks as seen in patients with acute pancreatitis Cullen's sign ~ Bluish discoloration of the abdomen and periumbilical area seen in acute hemorrhagic pancreatitis. psuedocyst ~ accumulation of pancreatic fluid and necrotic debris confined by the retroperitoneum. Occurs as an attempt to wall off pancreatic secretions. pancreatic abcess ~ large fluid containing cavity within the pancreas, large fluid filled sac in the pancreas from extensive necrosis of the pancreas Chronic pancreatitis ~ Characterized by progressive destruction of the exocrine pancreas, fibrosis & destruction of the endocrine pancreas

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NSG 231 Exam 2 Questions
And Answers

Pancreatitis


✓~ Acute inflammation process of the pancreas, degree of inflammation varies from

mild edema to severe necrosis. Most common in biliary tract disease and alcoholism,

but can be caused by trauma, viral infections, penetrating duodenal ulcer, cysts,

idiopathic, abscesses, cystic fibrosis, Kaposi's sarcoma, metabolic disorder, vascular

diseases, postop GI surgery, drugs




Jaundice


✓~ ..., Abnormal yellowish discoloration of the sclerae of the eyes, skin, and mucous

membranes due to excess billirubin in blood




Liver diagnostic tests


✓~ Ultrasound, CT, MRI, Biopsy




Biggest risk after liver biopsy

, ✓~ Bleeding.

NI's for post biopsy bleedding:


-position pt on biopsy side (R) to use body weight to apply pressure




ascites


✓~ Excess fluid in the peritoneal cavity that results from venous congestion of the

hepatic capillaries, which leads to plasma leaking directly into the peritoneal cavity

from the liver surface and portal vein.




Portal hypertension


✓~ increased pressure of the portal blood flow through the liver and back up to the

aorta, veins may appear engorged.




Complications from portal hypertension


✓~ hemorrhoids and esophageal varices.




Esophageal varices


✓~ tortuous esophageal veins that can burst, can cause fast bleed out and aspirations

, Difference between spironolactone and lasix


✓~ Lasix is not potassium sparring.

Spironolactone is potassium sparring.




Paracentesis


✓~ Removal of fluid from the peritoneal cavity. Fluid may be r/t ascites.




Splenomegaly


✓~ englarged spleen




Manifestations of liver dysfunction


✓~ edema/bleeding

vitamin deficiency


endocrine


skin


fluid


splenomegaly

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