NSG 430 Final Exam – Questions With Expert
Solutions
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Terms in this set (218)
Cirrhosis end stage of liver disease
Hep C and alcohol induced liver Most common causes of cirrhosis in the U.S.
disease
Biliary Cirrhosis Other causes of cirrhosis
Cardiac Cirrhosis which develops from
right sided HF
Fatigue and enlarged liver Early symptoms of liver cirrhosis
,Jaundice, peripheral edema, ascites Late symptoms of liver cirrhosis and portal
Spider angiomas, palmar erythema hypertension
Low red/white cells and platelets
Dietary low of thiamin, folic acid, B12
causing peripheral neuropathy
Portal hypertension Risks/complications of liver cirrhosis
Esophageal and gastric varices
Peripheral edema
Abdominal ascites
Hepatic encephalopathy
Hepatorenal syndrome-renal failure
Splenomegaly Portal hypertension is characterized by...
Ascites
Gastric and esophageal varices
Esophageal varices a complex of tortuous, enlarged veins at the lower
end of the esophagus.
Ruptured esophageal varices Most life-threatening complication of liver cirrhosis
(hemorrhage) (LIFE THREATENING)
albumin Treatment for peripheral edema caused by liver
cirrhosis
pericentesis, diuretics, Albumin Treatment for ascites
Eversion of the umbilicus. Manifestations of gross ascites
Abdominal skin striae with distended
wall veins
Dehydration
Decrease in urine output – dark,
concentrated
Hypokalemia
Low immune function
, Spontaneous bacterial peritonitis (SBP) Complications of ascites
Vascular dehydration
SBP a bacterial infection of the ascitic fluid; caused by
alterations of immune function associated with
cirrhosis, common after a variceal hemorrhage
High ammonia levels What causes hepatic encephalopathy?
Changes in neurologic and mental S/S of hepatic encephalopathy
responsiveness
Impaired consciousness and/or
inappropriate behavior
Sleep disturbances, trouble
concentrating, coma
Asterixis: Flapping tremors-Most
common in arms and hands
Impairment in writing: Difficulty in
moving pen left to right--Apraxia
Fetor hepaticus
Fetor hepaticus Musty, sweet odor of patient's breath
lactulose Treatment for hepatic encephalopathy
Hepatorenal syndrome a type of renal failure with azotemia, oliguria, and
intractable ascites. In this syndrome, the kidneys have
no structural abnormality.
diuretic therapy, GI hemorrhage, or What often proceeds hepatorenal syndrome?
paracentesis
liver transplantation Treatment for hepatorenal syndrome
Solutions
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Match Blocks Charms NEW
Terms in this set (218)
Cirrhosis end stage of liver disease
Hep C and alcohol induced liver Most common causes of cirrhosis in the U.S.
disease
Biliary Cirrhosis Other causes of cirrhosis
Cardiac Cirrhosis which develops from
right sided HF
Fatigue and enlarged liver Early symptoms of liver cirrhosis
,Jaundice, peripheral edema, ascites Late symptoms of liver cirrhosis and portal
Spider angiomas, palmar erythema hypertension
Low red/white cells and platelets
Dietary low of thiamin, folic acid, B12
causing peripheral neuropathy
Portal hypertension Risks/complications of liver cirrhosis
Esophageal and gastric varices
Peripheral edema
Abdominal ascites
Hepatic encephalopathy
Hepatorenal syndrome-renal failure
Splenomegaly Portal hypertension is characterized by...
Ascites
Gastric and esophageal varices
Esophageal varices a complex of tortuous, enlarged veins at the lower
end of the esophagus.
Ruptured esophageal varices Most life-threatening complication of liver cirrhosis
(hemorrhage) (LIFE THREATENING)
albumin Treatment for peripheral edema caused by liver
cirrhosis
pericentesis, diuretics, Albumin Treatment for ascites
Eversion of the umbilicus. Manifestations of gross ascites
Abdominal skin striae with distended
wall veins
Dehydration
Decrease in urine output – dark,
concentrated
Hypokalemia
Low immune function
, Spontaneous bacterial peritonitis (SBP) Complications of ascites
Vascular dehydration
SBP a bacterial infection of the ascitic fluid; caused by
alterations of immune function associated with
cirrhosis, common after a variceal hemorrhage
High ammonia levels What causes hepatic encephalopathy?
Changes in neurologic and mental S/S of hepatic encephalopathy
responsiveness
Impaired consciousness and/or
inappropriate behavior
Sleep disturbances, trouble
concentrating, coma
Asterixis: Flapping tremors-Most
common in arms and hands
Impairment in writing: Difficulty in
moving pen left to right--Apraxia
Fetor hepaticus
Fetor hepaticus Musty, sweet odor of patient's breath
lactulose Treatment for hepatic encephalopathy
Hepatorenal syndrome a type of renal failure with azotemia, oliguria, and
intractable ascites. In this syndrome, the kidneys have
no structural abnormality.
diuretic therapy, GI hemorrhage, or What often proceeds hepatorenal syndrome?
paracentesis
liver transplantation Treatment for hepatorenal syndrome
