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These types of hepatitis are transmitted via the fecal oral route
Hepatitis A & E
This dietary restriction is appropriate for an individual with cholecystitis, pancreatitis, and cirrhosis
Low fat diet
These lab values are elevated in acute pancreatitis
Amylase and lipase
Breakdown of pancreatic and surrounding tissue by pancreatic enzymes is a complication of acute pancreatitis associated with high mortality. What is this complication called?
Necrotizing pancreatitis
What are 2 complications of acute pancreatitis?
Necrotizing pancreatitis, Pseudocyst, Shock, Internal bleeding, MODS, hyperglycemia, malabsorption
What should the nurse observe the patient for after a liver biopsy?
Bleeding/hemorrhagic shock
What are dietary requirements for a patient with liver cirrhosis?
Low sodium, high carbohydrate
Alteration in which lab values indicate liver dysfunction?
AST, ALT, ALP, GGT
What are the primary interventions for a patient with acute pancreatitis?
NPO, IVF, pain management, antibiotic therapy
What is the purpose of oral pancreatic enzymes in chronic pancreatitis?
Aids in the digestion of carbohydrates, fats, and proteins.
A patient with end stage liver disease admitted to the medical surgical floor, keeps trying to crawl out of bed, and is actively hallucinating. What is the most likely reason for his behavior?
Hepatic encephalopathy secondary to elevated ammonia level. The diseased liver is unable to process wastes such as ammonia for excretion.
Which procedure allows for visualization of the bile duct and can facilitate stone removal, placement of a stent in a narrowed bile duct, or dilation of a stricture
Endoscopic retrograde cholangiopancreatography (ERCP).
What are the advantages of paracentesis for the patient with ascites?
Decreased pain, decreased respiratory discomfort.
What is the leading cause of Cirrhosis in the United States.
Chronic alcoholism
Which medication would the nurse exepect to administer to a patient with serum ammonia of 164 mcmol/L(15–55 mcmol/L)
Lactulose
In which disease process is the Whipple procedure performed?
Pancreatic cancer (Whipple procedure or pancreaticoduodenectomy where head of the panaceas and some of the abdominal organs are removed
