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Exam (elaborations)

Nur198 exam 4 - Module 10

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Nur198 exam 4 - Module 10 Nur198 exam 4 - Module 10 Nur198 exam 4 - Module 10

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Nur198 exam 4 - Module 10
Functions of Liver - ANS Glucose metabolism, storage of glycogen

Ammonia conversion



Functions of liver - ANS Protein/fat

Metabolism

Vitamin/Fe storage

Bile formation

Bilirubin excretion

Drug metabolism

Production of clotting factors



Adequate protein levels for hepatic failure and hepatic encephalopathy - ANS 1/2-1.5 g/kg/day



How to decrease ammonia levels - ANS decrease protein



Elevated ammonia adverse effects - ANS Neurologic issues



Liver biopsy - ANS removal of tissue from the liver for pathologic examination to confirm particular
diagnosis



Ultrasonography - ANS provides good images of liver, gallbladder, bile ducts



CT scan - ANS good images of liver, gallbladder, bile ducts

, Jaundice - ANS yellow skin, conjunctiva



ascites - ANS distended fluid filled abdomen (portal hypertension)



Esophageal/Gastric Varicies - ANS Dilated veins in esophagus/stomach (portal hypertension)



Hepatic Encephalopathy/coma - ANS inability to convert ammonia to harmless urea within liver



Nutritional deficiencies caused by liver - ANS lack of protein synthesis, glycogen storage



Risk of bleeding - ANS loss of ability to produce clotting factors in liver, low platelets (lack of
thromboprotein)



Jaundice hemolytic Causes - ANS excessive RBC breakdown



Jaundice Hepatocellular causes - ANS liver disease



Jaundice Obstructive causes - ANS biliary obstruction



2 types of jaundice most associated with liver disease - ANS hepatocellular

obstructive



Normal bilirubin levels - ANS 0.2-1.2



Portal Hypertension - ANS Increased pressure throughout the portal venous system that results from
obstruction of blood flow into and through the damaged liver

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