How does decrease Kupffer cells happen - ANSWER..In Cirrhosis → diminished
Hepatocyte in fxn:
1. cells are no longer able to FILTER OUT BACTERIA. + pt suffers from
Leukopenia from splenomegaly → increase risk for infection.
3 Problems involving Portal HTN - ANSWER..These problems are causes of
what:
1. Ascites
2. Splenomegaly
3. Varices
Portal HTN & Ascites - ANSWER..back pressure cause FLUID to back into
SMALL ARTERIES & CAPILLARIES → increase hydrostatic pressure → fluid
leak into abdominal tissue → abdominal cavity → abdomen swells
Portal HTN & Splenomegaly - ANSWER..back pressure cause VENOUS
BLOOD to back into LIVER→ blood overcomes resistance → pressure increases
→ liver cells dilate & liver becomes larger → venous stasis in enlarged spleen →
breakdown of RBC, Thrombocytes, Leukopenia, Anemia (easy bleeding, increase
risk of infection)
Portal HTN & Varices - ANSWER..back pressure cause VENOUS BLOOD to
back into ESOPHAGUS & RECTUM
Esophagus Varice - ANSWER..If veins from esophagus ruptures → pt can bleed
to death
Rectum Varices - ANSWER..Hemorrhoids
, DX Cirrhosis - ANSWER..Lab value of Bilirubin, AST, ALT, ALP & Liver
Biopsy
TX of Cirrhosis - ANSWER..quit ETOH, Drugs. Low Protein Diet. Give diuretics
& IV Albumin.
Types of CNS disorders - ANSWER..Migraine, Seizures, Meningitis
S&S of Migraines - ANSWER..Phonophobia and Photophobia and Unilateral
headache
CNS Disorders - ANSWER..Migraines, Seizures, Meningitis are what kind of
disorder
TX of Migraines - ANSWER..Abortive - Imitrex
Prodrome of Migraine - ANSWER..Photophobia & Phonophobia
Postdrome of Migraine - ANSWER..washed out - tired- weak
Types of Seizure - ANSWER..General
&
Partial
S&S of Seizures - ANSWER..tonic-clonic muscle contraction & movement
completely or partially unconsciousness
Post Seizure Symptoms - ANSWER..Confused, Dazed, Combative
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