Cholecystitis
~ Acute or chronic inflammation of the gallbladder, most often caused by
obstructution of biliary sludge
Acute pancreatitis
~ Clients with this describe excruciating epigastric pain that radiates to the back,
may be decreased by leaning forward or lying in a fetal position....
✓~ ..., Abnormal yellowish discoloration of the sclerae of the eyes, skin, and mucous
membranes due to excess billirubin in blood
Liver diagnostic tests
✓~ Ultrasound, CT, MRI, Biopsy
Biggest risk after liver biopsy
, ✓~ Bleeding.
NI's for post biopsy bleedding:
-position pt on biopsy side (R) to use body weight to apply pressure
ascites
✓~ Excess fluid in the peritoneal cavity that results from venous congestion of the
hepatic capillaries, which leads to plasma leaking directly into the peritoneal cavity
from the liver surface and portal vein.
Portal hypertension
✓~ increased pressure of the portal blood flow through the liver and back up to the
aorta, veins may appear engorged.
Complications from portal hypertension
✓~ hemorrhoids and esophageal varices.
Esophageal varices
✓~ tortuous esophageal veins that can burst, can cause fast bleed out and aspirations
, Difference between spironolactone and lasix
✓~ Lasix is not potassium sparring.
Spironolactone is potassium sparring.
Paracentesis
✓~ Removal of fluid from the peritoneal cavity. Fluid may be r/t ascites.
Splenomegaly
✓~ englarged spleen
Manifestations of liver dysfunction
✓~ edema/bleeding
vitamin deficiency
endocrine
skin
fluid
splenomegaly
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