Excelsior NC5
Terms
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- 4 types of Cirrhosis
-
Alcoholic
Postnecrotic
Biliary Cirrhosis
Cardiac Cirrhosis -
Late s/sx of Cirrhosis
(Decreased liver size scar Tissue) -
Ascites d/t decreased albumin
Jaundice
Spider angioma
gastrointest. varices
edema
anemia
Clotting dysfunct.
Pruritus d/t accumulation of bile salts
Hepatic encephalophy or coma - What are some Clinical Manifestations of Hepatic Coma
-
Neuro: Disoriented,confusion,personality changes,memory loss, Dec.loc,dec. motor activity,
Positive Babinski reflex
Seizures
Asterixis or flapping tremor of the hands.
EEG slowing brain waves
breath odor SULFUR - What is the goal of medical management?
- Decrease Ammonia level
- What is given to Dec. ammonia level
-
Lactulose
the lactulose traps the ammonia in the intestine. - Diet for hepatic coma (if pt can eat)
- high-carb,low-protein,low fat
- What is the best position for pt w/ hepatic coma
- semi-fowler's or fowler's supporting arms w/ pillows.
- if pt. is on lactulose what labs should be monitored.
- sodium and potassium
- Cholecystitis
- acute inflammation and infection of the gallbladder
- when eating fatty foods what hormone is secreted by the small intestines?
- cholecystokinin