This preview has intentionally blurred sections. Sign up to view the full version.View Full Document
Unformatted text preview: • portal HTN • collateral circulation • esophageal varices: balloon tamponade (balloon in esophagus), sclerotherapy (cauterize TIPS to stop bleeding) medications (isosorbide + madolol); TIPS • decreased serum albumin • decreased plasma oncotic pressure • reduced renal blood flow • altered aldosterone production/metabolism • Na retention • ascites: accumulation of water in abdominal caity • splenomegaly • hyperammonemia ➢ sources of blood ammonia • dietary protein • sloughed cells • GI bleeding • urea • cellular metabolism ➢ laboratory/clinical findings • increased serum enzymes • increased serum ammonia • hypoalbuminemia • increased serum bilirubin • low platelets; increased PT; easy bruising • jaundice, itching • ascites • splenomegaly (enlarged spleen) • wt loss; malnutrition (PCM)...
View Full Document
This note was uploaded on 10/25/2009 for the course HUN 4446 taught by Professor Mathews during the Spring '09 term at University of Florida.
- Spring '09