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Principles 3, test 2 hepatobiliary slides 22-30
i hate research
13
Nursing
Graduate
02/26/2010

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Cards

Term
what two classifications are there of liver disease?
Definition
parenchymal, cholestatic
Term
How is hap A transmitted? B? C?
Definition
oral fecal, body fluids, body fluids
Term
Which viral hepatitis classifications can develop into chronic conditions?
Definition
hep B and C
Term
Do volatile anesthetics increase or decrease hepatic blood flow? Regional?
Definition
decrease, decrease
Term
Previous exposure to halothane in a middle aged obese woman can cause hepatitis most frequently in what time frame?
Definition
28 days
Term
Define chronic hepatitis
Definition
any liver disorder which produces hepatic inflammation and necrosis for at least 6 months
Term
What are the two main risk factors for nonalcoholic fatty liver disease?
Definition
type 2 DM and obesity
Term
i am consuming alcohol heavily, what three types of liver damage can occur? how do they resolve?
Definition
steatosis (resolves with abstinence), alcohol hepatitis (abstinence, high protein diet, bedrest, steroids)
Term
what electrolyte imbalances is the hepatitis pt at risk for?
Definition
hypomagnesemia, hypokalemia (vomiting)
Term
Which lab value is the best indicator of hepatic dysfunction?
Definition
PT >3 seconds above normal or INR above 1.5 following Vit K administration
Term
What are the two most common causes of cirrhosis?
Definition
alcohol and hep C
Term
What is the cardiovascular hallmark of end stage cirrhosis?
Definition
portal hypertension
Term
What two factors contribute to portal hypertension?
Definition
increase in vascular resistancedue to damage of sinusoids and replacement with nodular tissue which compresses the portal venous system, and an increase in portal blood flow due to splanchnic arteriole dilation (which is due to the blood backing up into collateral circulation causing a reduction in blood flow)
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