Hepatic Disorders- Assessment and Management of Pt

Key terms and charts from ch. 39

123 cards   |   Total Attempts: 182
  

Cards In This Set

Front Back
Asterixis
Involuntary flapping movements of the hands associated with metabolic liver dysfunction
Balloon tamponade
Use of balloons placed within the esophagus and proximal portion of the stomach and inflated to compress bleeding vessels (esophageal and gastric varices)
Budd-chiari syndrome
Hepatic vein thrombosis resulting in non-cirrhotic portal hypertension
Cirrhosis
A chronic liver disease characterized by fibrotic changes and the formation of dense connective tissue within the liver, subsequent degernative changes, and loss of functioning cells
Constructional apraxia
Inability to draw figures in two or three dimensions
Fetor hepaticus
Sweet, slightly fecal odor to the breath, presumed to be of intestinal origin; prevalent with the extensive collateral portal circulation in chronic liver disease
Fulminant hepatic failure
Sudden, severe onset of acute liver failure that occurs within 8 weeks after the first symptoms of jaundice
Hepatic encephalopathy
Central nervous system dysfunction resulting from liver disease; frequently associated with elevated ammonia levels that produce changes in mental status, altered level of consciousness, and coma
Orthotopic liver transplantation OLT
Grafting of a donor liver into the normal anatomic location, with removal of the diseased native liver
Portal hypertension
Elevated pressure in the portal circulation resulting from obstruction of venous flow into and through the liver
Sclerotherapy
The injection of substances into or around esophagogastric varices to cause constriction, thickening, and hardening of the vessel and thus to stop bleeding
Variceal banding
Procedure that involves the endoscopic placement of a rubber band-like device over esophageal varices to ligate the area and stop bleeding
Xenograft
Transplantation of organs from one species to another
Age related changes of hepatobiliary systemchart 39-1
-steady decrease in size and weight of liver, particularly in women- < in blood flow- < in replacement/repair of liver cells after injury- < drug metabolism- slow clearance of hep B surface antigen- > progression of hep C infection and < response rate to therapy- < in drug clearance capability- > prevalence of gallstones due to the increase in cholesterol secretion in bile- < gallbladder contraction after a meal- atypical clinical presentation of biliary disease- more severe complications of biliary tract disease
Technique for palpating the liverfigure 39-3
Place one hand under the right lower rib cage and press downward with light pressure with the other hand