Hepatic
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49 terms
Terms | Definitions |
|---|---|
 Laennecs | Cirrhosis caused by ETOH consumption |
| Steatohepatitis | Fatty liver |
| Hemochromatosis | Iron overload |
| Wilsons Disease | Copper overload |
| Post necrotic causes of cirrhosis | viral, toxic idiopathic, chronic, autoimmune |
| sarcoidosis | inflammatory disease that causes cirrhosis |
| germander | herbal remedy for gout that causes cirrhosis |
| Isoniad | TB treatment that causes cirrhosis |
| Ammonia | result of protein metabolism and bacterial metabolism |
| Portal hypertension | causes high blood pressure in the portal system |
| Normal portal pressure | 5 - 10 mm Hg |
| Portal HTN pressure | greater than 20 mm Hg |
| up to 3 liters | amount of fluid remove during paracentesis |
| Void before paracentesis | to avoid puncturing the bladder |
| High Fowlers | Position for paracentesis |
| Bleeding varices are _____ threatening | life |
| Vasopressin | vasoconstrictor |
| propranolol | beta blocker |
| Vitamin K helps with_______. | clotting |
| Vitamin K | aquamephyton |
| Xray is used to confirm placeent of a | balloon tamponade |
| Check balloons under _____ prior to insertion | water |
| Keep _______at the bedside of balloon Tamponde patients | scissors |
| deflate the balloon tamponade every __hours | 2 |
| TIPS | transjugular intrahepatic portal system |
| le vein | peritovenal shunt |
| normal ammonia level | 15-45 mcg/dl |
| hepatic encephalopathy | hepatic coma |
| Main factor in hepatic encephalopathy | ammonia |
| A major symptom of hepatic encephalopathy | mental changes |
| asterixis | liver flap |
| apraxia | handwriting difficulty |
| fetor hepaticus | liver breath |
| Which grade of hepatic encephalopathy presents with posturing? | 4 |
| main goal of treatment in hepatic encephalopathy | reduce ammonia levels |
| luctulose | prevents the absorption of ammonia |
| an ototoxic aminoglycoside used to reduce bacterial flora of the colon | neomycin |
| first choice treatment of hepatic encephalopathy | lactulose |
| cimetidine | H2 antagonist |
| rhythm associted with low magnesium levels | v tach |
| azotemia | nitrogenous waste products |
| hepatorenal syndrome (HRS) ischaracterized by functional | renal failure with azotemia, aliguria, and intractable ascites |
| HRS is frequently related to | fluid volume changes |
| Where does liver cancer metastisize to | lung |
| in the early stages liver cancer mimics | cirrhosis |
| aflatoxin | mold found in wheat and peanuts |
| cyclosporin | interlukin 2 immunosuppressant |
| tacrolimus | allogenic immunosuppressant |
| azathioprine | cell mediated immunosuppressant |
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