NSG 210 Test 3 Study Guide

It happens when a gallbladder stone obstructs bile

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Unformatted text preview: al conditions, family hx of alcoholism or liver disease.  ­Physical ax should include checking over s/s listed above. It should also include observation for occult bleeding in the stool.  ­Dx can be made by CT, MRI, ultrasound, radioisotope liver scans, EGD, arteriography, etc. Dx is confirmed by liver biopsy Tx: hepatic dysfunctions should be treated accd to the above sections on each one. Drug therapy, nutrition & avoidance of alcohol can slow progression of cirrhosis.  ­Drug therapy: usually depends on the presenting s/s Vitamins & nutritional supplements are given to promote healing of liver cells K ­sparing diuretics may be indicated to treat ascites Antacids & H2 receptor antagonists may be given to decrease GI distress & minimize GI bleeding Some meds have been shown to possess anti ­fibrotic activity such as angiotensin system inhibitors, statins, diuretics, immunosuppressants & glitazones Pts w/ end stage liver disease w/ cirrhosis may use the herb milk thistle to treat jaundice & other s/s SAM ­e, a natural compound, may improve outcomes in liver disease by improving liver function through its anti ­oxidant properties Interventions: see previous interventions under hepatic dysfunctions. Also look at Chart 39 ­12 pg 1150 ­1157 for sample nursing interventions LIVER TRANSPLANTATION  ­Used to treat life ­threatening ESLD for which no other treatment is available. It involves total removal of the diseased liver & replacement w/ a healthy liver.  ­Success of liver transplantation depends on successful immunosuppression medications Complications: may develop r/t the lengthy surgical procedure, immunosuppressive therapy, infection & the technical difficulties of reconstructing the blood vessels & biliary tract  ­Immediate post ­op complications include bleeding, infection & rejection. Infection is the leading cause of post ­op death after a liver transplant b/c susceptibility to infection is increased by the immunosuppressive therapy that is needed to prevent rejection. Broad spectrum antibiotics are used to treat possible infection...
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