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Nursing Care of Patients with Liver, Gallbladder, and Pancreatic Disorders

Hepatitis. Inflammation of the Cells of the Liver, Usually Caused by a Virus.TypesHAVHBVHCVHDVHEGHGV. Prevention of Hepatitis. CleanlinessVaccines HAVHBVStandard Precautions. Signs and Symptoms. Prodromal Stage

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Nursing Care of Patients with Liver, Gallbladder, and Pancreatic Disorders

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    1. Chapter 35 Nursing Care of Patients with Liver, Gallbladder, and Pancreatic Disorders

    2. Hepatitis Inflammation of the Cells of the Liver, Usually Caused by a Virus. Types HAV HBV HCV HDV HEG HGV

    3. Prevention of Hepatitis Cleanliness Vaccines HAV HBV Standard Precautions

    4. Signs and Symptoms Prodromal Stage–1 Week Flu-Like Symptoms RUQ Pain Icteric Stage–2-6 Weeks Worsening Symptoms, Jaundice Convalescent–2-6 Weeks Return to Normal Liver Function

    5. Diagnostic Tests Liver Enzymes Serum Bilirubin and Uribilinogen ESR PT Serologic Tests

    6. Therapeutic Interventions Rest Nutrition Interferon Therapy Antivirals Avoidance of Alcohol and Liver Toxic Drugs

    7. Nursing Diagnoses Imbalanced Nutrition Risk for Impaired Skin Integrity Pain Risk for Ineffective Management of Therapeutic Regimen

    8. Fulminant Liver Failure Pathophysiology Sudden Massive Loss of Liver Tissue Etiology Drug Toxicity Hepatitis

    9. Signs and Symptoms Encephalopathy Confusion Coma Elevated Liver Enzymes, Bilirubin, PT

    10. Diagnostic Tests ALT AST Serum Bilirubin Urobilinogen Potassium Blood Glucose PT X-Ray

    11. Therapeutic Interventions Bedrest Eliminate All Drugs Possible Dialysis Diet Lactulose, Neomycin Transplant

    12. Complications Metabolic Alkalosis Hypokalemia Hypoglycemia Clotting Disturbances Sepsis Renal Failure Respiratory Failure

    13. Chronic Liver Failure (Cirrhosis) Etiology Chronic Alcohol Ingestion Hepatotoxins Hepatitis Gallbladder Obstruction Heart Failure

    14. Pathophysiology Inflammation of Liver Cells Infiltration with Fat and WBCs Fibrotic Scar Tissue Replaces Liver Tissue

    15. Signs and Symptoms

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