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