NURS 4430 Chapter Notes - Chapter 49: Spontaneous Bacterial Peritonitis, Liver Biopsy, Esophageal Varices
Document Summary
Chapter 49 - assessment and management of patients with hepatic disorders. Very vascular that receives blood from the gi tract via the portal vein from the hepatic artery. Serum aminotransferase: ast (10-40 units/l)), alt (7-56 units/l), ggt (9-48 units/l), Ggtp (3. 0-28. 7 females / 3. 3-35. 0 males), ldh (140-280 units/l) Direct and indirect serum bilirubin (0. 1-1. 2 mg/dl), urine bilirubin (0. 2-1. 0 mg/dl), and urobilinogen. Cholesterol (100-129 mg/dl) (the lab values on table 49-1 seemed off to me, so i put the one that we have had to use previously) Instruct to inhale and exhale deeply over and over and as they exhale they need to hold their breath as the physician inserts the needle and then removes it, instruct pt to breath after removal. Acute or chronic, cirrhosis of the liver. Most common cause is malnutrition related to alcoholism. Cirrhosis is extensive scarring of the liver, usually caused by a chronic reaction to hepatic inflammation and necrosis.
