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Nursing 252 Exam 2 NVCC Study Guide

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Nursing 252 Exam 2 NVCC Study
Guide

Two clotting factors made by the liver that are lower or missing in liver insufficiency -
Answer Prothrombin

Fibrinogen

Bilirubin is the product of _____ breakdown. - Answer RBC breakdown

Bilirubin travels to liver after RBC breakdown in ___________ form. - Answer
Unconjugated/indirect

Also called "protein-bound" form

Bilirubin does what in the liver? - Answer It becomes conjugated

What is an important characteristic of conjugated bilirubin? - Answer It is water soluable

After bilirubin becomes conjugated, what can it do? - Answer Make bile

What happens to stools in liver failure and why? - Answer They are clay colored due to
lack of bilirubin in bile.

Without bile, one would be unable to digest _____ completely. - Answer Fats and lipids

What vitamins are not absorbed if bile is not produced? - Answer ADEK

3 reasons why patients bleed in liver failure. - Answer 1. Prothrombin and fibrinogen not
being produced

2. Vitamin K not being absorbed

3.

Normal protein breakdown in the gut produces what compound? - Answer NH3
(ammonia)

What does the liver do with ammonia? - Answer Breaks is down to urea, which can be
excreted in urine.

Hormones are broken down in the liver. A failing liver will cause what? - Answer
Elevated hormone levels like aldosterone and estrogen, causing fluid retention and
gynomastia.

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