NUR 326 Cirrhosis
- cirrhosis
- HCV infection
Answer end stage of liver disease characterized by extensive degeneration and destruction of the livers cell with the replacement of liver tissue by SCAR tissue and regenerative nodules that occur as the liver tries to repair itself
Answer 60-70% infected are asymptomatic Can take up to 20 years to develop, first sign becomes liver disease Can progress to liver cancer or cirrhosis 85%-Liver damage
HEPATITIS C INFECTION
3. NASH
Answer nonalcoholic steatohepatitis (fatty liver)
- steatohepatitis
Answer inflammation of the liver associated with excess fat
- HCV, NASH, and alcohol induced
- Cardiac cirrhosis
Answer What are the most common causes of cirrhosis
Answer results from severe right heart failure inducing necrosis and fibrosis due to lack of blood flow.increases the risk of liver cirrhosis.
Treatment aims to fix the underlying problem of heart failure
- ascites
Answer abnormal accumulation of fluid in the abdomen
- portal hypertension 1 / 2
Answer the elevation of blood pressure within the portal venous system. Forms collateral circulation for alternate circulatory pathway
- collateral circulation
- esophageal varices
- albumin
- Hypoalbuminemia
- factors that affect ascites
- 3 pounds in 2 days and 5 pounds in a week
Answer circulation by secondary channels after obstruction of the principal channel supplying the heart
Answer swollen, varicose veins at the lower end of the esophagus. they do not tolerate high pressure and can bleed easily Can lead to deadly variceal hemorrhages
Answer Liver will make this enzyme when properly working. Low means not working effectively
Answer marked decrease in serum albumin concentration because of the liver's decreased ability to synthesize albumin that will result in decreased colloidal oncotic pressure
Answer increased hepatic lymph flow, hyperaldosteronism, impaired water extretion, portal hypertension, decreased serum oncotic pressure
Answer Weight gain that must be reported to provider
15. 3.5-5
Answer albumin level
16. 135-145
Answer sodium lab
17. 1.3-2.1
Answer magnesium lab
- 3.5 to 5
- / 2