Update): Complex Diagnosis and Management in Acute
Care Practicum | Complete Review | Questions and
Verified Answers | 100% Correct – Chamberlain
Esophageal rupture***, pancreatic and malignant effusions are indicated when PF
shows what? - ANSWER Amylase
PF triglyceride level >100 mg/dL suggests a ___________ - ANSWER Chylothorax
Hemolysis
Gilbert's syndrome
Drugs
Hepatitis
Chemotherapy
Neonatal
Obstructive cholecystokinin
Cirrhosis with liver failure
Are causes of what? - ANSWER Hyperbilirubinemia
Alk Phos can be elevated with pregnancy, bone disease or growing children
T/f - ANSWER True
True test of liver function is... - ANSWER Total protein/albumin
PT/INR
AST is not very specific for liver disease except in... - ANSWER ETOH
To determine if the source of high Alk Phos is from the liver, you would draw a
_________ - ANSWER GGTP
*if this is normal, the source is not due to the liver
Causes of high indirect bilirubin are due to the liver
T/f - ANSWER False. Indirect bilirubin is unconjugated. Sources of elevated indirect
bili are due to RBC destruction.
Causes of elevated direct bilirubin levels are due to the liver
T/f - ANSWER True. Direct bilirubin is conjugated by the liver having been bound
with glucoronic acid and made water soluble for excretion
In alcoholics, you can expect an AST:ALT ratio of ____ - ANSWER >2
If the AST:ALT ratio is >5, the NP expects there are extra-hepatic sources of AST