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SATA: The following a true about Primary liver cancer, EXCEPT:
- Most liver cancer is dx early
- Systemic chemotherapy is generally effective in tx liver cancer
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Pt just dx with Hep A, what would you expect to note (early signs of Hep A)
anorexia, n/v
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The pt is taking zantac (ramitadine) what type of drugs should pt avoid
antacids
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Alteration from hepatic blood flow resulting from a drug interaction will affect?
metabolismand excretion
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T/F: men and women are equally prone to develop cirrhosis
false
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Pt has advance cirrhosis. PT of 15 seconds…what med would u give?
phytonadione (mephyton)
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Nx completes a transfer summary which includes about pt’s drinking, assessment findings that
would confirm pancreatitis
recent losewt and temp elevation
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Which lab diagnostic indicates pancreatitis?
Elevated Lipase
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Pt is evaluated for severe pain on right upper abdominal quadrant…MD dx cholylithiasis. which nx dx takes tops priority
pain
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Pt has pancreatitis, Demerol is rx instead of morphine b/c
it causes spasm on sphincter of oddi
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Pt has n/v, abdominal distention…Which lab result is most significant
potassium of 3
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Which nx action is most appropriate for a pt with acute pancreatitis
withholding all oral intake as order to decrease pancreatic secretion
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When pt gets better from pancreatitis, what kind of diet?
low fat and high carbohydrates
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Position for pt with pancreatitis
lying on the side with knees flexed
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SATA: Mr. smith has acute pancreatitis, lab test?
- Increase WBC
- Elevated amalase and lipase
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SATA: pt has possible acute cholycystis
- Pain at right upper side of abdomin
- Pain and may have murphy’s sign
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FILL-IN: Mr.Jones…vomiting blood and black tarry stool…What would be emergency tx for
bleeding esophageal varisies? (3 questions)
- Stop blood loss
- Maintain plasma volume
- Antibiotics
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FILL-IN:
An alteration of ability of the intestine to absorb nutrients adequently through bloodstream
malabsorption syndrome
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