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
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
