Care of Patient with a Gallbladder, Liver,
Biliary Tract, or Exocrine Pancreatic
Disorder
How does Bilirubin end up in our body? - ANSWER Broken RBCs
How does Bilirubin leave our system? - ANSWER UNCONJUGATED Bilirubin->
Liver(Albumin) -> combines with sugar ->CONJUGATED Bilirubin -> Bile-> sm
intestine-> lrg intestine (can go back into gallbladder or kidneys) -> excreted
2 ways Bilirubin is digested: - ANSWER -intestinal system
-urobelinigen (kidneys..yellow color)
Which LIVER ENZYME is most specific for LIVER injury or LIVER damage? -
ANSWER ALT
Name Liver Enzymes: - ANSWER AST, ALT(most common), LDH, GGT, Alkaline
Phosphatase
An INCREASE in Enzymes relates to: - ANSWER DAMAGE to organ
A DECREASE in Enzymes relates to: - ANSWER Disease
What are the two BLOOD PROTEINS synthesized by the LIVER : - ANSWER Albumin
(main blood protein, prevents 3rd spacing)
Globulin (autoimmune function)
What is Prothrombin time? (PT) - ANSWER Time it takes for blood to clot >20 sec is
critical!
Serum Amylase - ANSWER Carbs
Serum Lipase - ANSWER Fats
Calcium is essential in what? - ANSWER Clotting
Coumadin is a... - ANSWER Anticoagulant
, Hepatitis A results from: - ANSWER Contaminated food/water
Hepatitis B results from: - ANSWER Blood/ bodily fluids
Hepatitis C results from: - ANSWER Blood to blood
Hepatitis Virus study is _________ if present. - ANSWER Positive
"Choli" refers to.. - ANSWER Gallbladder
"Cholangi" refers to.. - ANSWER Biliary tree
Serum Bilirubin test for: - ANSWER Liver disease, biliary obstruction, hemolytic anemia
Ns interventions for oral cholestcystography - ANSWER Keep NPO, iodine allergy?
Administer tab PO 5 min after evening meal until midnight.
Intravenous cholangiography detects: - ANSWER Stones, growths, defects in biliary
tree
When is a ultrasonography not effective? - ANSWER Used on organs containing air
When preforming an ultrasonography what should the nurse watch out for? - ANSWER
Barium. (Not water soluble)
Ns should check when hemorrhaging: - ANSWER Decrease BP, tachycardia,
hyperventilating, blood in dressing
ERCP Ns interventions pre-op: - ANSWER Pt teaching, consent, PT/INR, NPO
What is the most common complication of ERCP? - ANSWER Pancreatitis
ERCP Ns interventions post-op: - ANSWER Keep NPO until gag reflex returns
How do you decrease the risk of hemorrhaging after needle liver biopsy? - ANSWER
Lying pt on right side to splint incision
Urine Amylase must be__________ for 24 hours after taken. - ANSWER
Refrigerated/placed on ice
Biliary Tract, or Exocrine Pancreatic
Disorder
How does Bilirubin end up in our body? - ANSWER Broken RBCs
How does Bilirubin leave our system? - ANSWER UNCONJUGATED Bilirubin->
Liver(Albumin) -> combines with sugar ->CONJUGATED Bilirubin -> Bile-> sm
intestine-> lrg intestine (can go back into gallbladder or kidneys) -> excreted
2 ways Bilirubin is digested: - ANSWER -intestinal system
-urobelinigen (kidneys..yellow color)
Which LIVER ENZYME is most specific for LIVER injury or LIVER damage? -
ANSWER ALT
Name Liver Enzymes: - ANSWER AST, ALT(most common), LDH, GGT, Alkaline
Phosphatase
An INCREASE in Enzymes relates to: - ANSWER DAMAGE to organ
A DECREASE in Enzymes relates to: - ANSWER Disease
What are the two BLOOD PROTEINS synthesized by the LIVER : - ANSWER Albumin
(main blood protein, prevents 3rd spacing)
Globulin (autoimmune function)
What is Prothrombin time? (PT) - ANSWER Time it takes for blood to clot >20 sec is
critical!
Serum Amylase - ANSWER Carbs
Serum Lipase - ANSWER Fats
Calcium is essential in what? - ANSWER Clotting
Coumadin is a... - ANSWER Anticoagulant
, Hepatitis A results from: - ANSWER Contaminated food/water
Hepatitis B results from: - ANSWER Blood/ bodily fluids
Hepatitis C results from: - ANSWER Blood to blood
Hepatitis Virus study is _________ if present. - ANSWER Positive
"Choli" refers to.. - ANSWER Gallbladder
"Cholangi" refers to.. - ANSWER Biliary tree
Serum Bilirubin test for: - ANSWER Liver disease, biliary obstruction, hemolytic anemia
Ns interventions for oral cholestcystography - ANSWER Keep NPO, iodine allergy?
Administer tab PO 5 min after evening meal until midnight.
Intravenous cholangiography detects: - ANSWER Stones, growths, defects in biliary
tree
When is a ultrasonography not effective? - ANSWER Used on organs containing air
When preforming an ultrasonography what should the nurse watch out for? - ANSWER
Barium. (Not water soluble)
Ns should check when hemorrhaging: - ANSWER Decrease BP, tachycardia,
hyperventilating, blood in dressing
ERCP Ns interventions pre-op: - ANSWER Pt teaching, consent, PT/INR, NPO
What is the most common complication of ERCP? - ANSWER Pancreatitis
ERCP Ns interventions post-op: - ANSWER Keep NPO until gag reflex returns
How do you decrease the risk of hemorrhaging after needle liver biopsy? - ANSWER
Lying pt on right side to splint incision
Urine Amylase must be__________ for 24 hours after taken. - ANSWER
Refrigerated/placed on ice
