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90 notecards = 23 pages (4 cards per page)

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GI

front 1

AMMONIA LEVELS IF ELEVATED IN LIVER FAILURE ,CIRRHOSIS,HEPATIC ENCEPHALOPATHY

back 1

10-80 UG/DL

front 2

INDIRECT BILLIRUBIN

back 2

0.2-0.8 MG/DL

front 3

DIRECT BILLIRUBIN

back 3

0.03 MG/DL

front 4

TOTAL BILIRUBIN

back 4

0.2-1.2 MG/DL

front 5

ALP

back 5

40-120

front 6

LIVER ENZYMES ALT

back 6

15-40 UL

front 7

WHAT TEST FOCUS ON LIVER

back 7

BILLARY TEST

front 8

LIVER ENZYMES AST

back 8

10-40 UL

front 9

PHOSPHOROUS

back 9

2.5-4.5

front 10

CL-

back 10

98-106

front 11

MG2+

back 11

1.5-2.5

front 12

CA2+

back 12

8.2-10.2

front 13

ELECTROLYTES K+

back 13

3.5-5.O

front 14

ELECTROLYTES NA +

back 14

135-145

front 15

Prothrombin time (pt)

back 15

10-13 seconds elevated on billiary obstruction, cirrhosis AND VITAMIN K DEFICIENCY AND FOR THOS ON WARAFIN 9 ANTICOAG THERAPY

front 16

platelets testing for bruising

back 16

150,000 -400,000

front 17

hematocrit bleeding in body

female

back 17

37-47 percent

front 18

Hematocrit any bleeding body for men

back 18

42-52 percent

front 19

Hemoglobin female

back 19

12-16

front 20

Hemoglobin Male

back 20

42-52 percent

front 21

rbc female

back 21

4.2 to 5.4

front 22

rbc male

back 22

4,7-6.1

front 23

wbc

back 23

5,00-10,000

front 24

when fatty meals get released to duodenum when bad can develope jaundice

back 24

which you end up being in pain from greasy pizza

front 25

when a resident has a decreased appetite and everything is rule out

back 25

think of depression

front 26

synthesis of plasma proteins

back 26

The liver synthesizes albumin,clotting factors, and globulin.Albumin is the most abundant plasma protein; it maintains osmotic balance.

front 27

when you have to much diarhea what happens to body

back 27

dehydration and electrolytes and potassium levels get low

front 28

nsaids , aleeve and asprin does what

back 28

Gives uclers

front 29

black stool

back 29

upper gi bleed or different medication can make it greenish black

front 30

peptobismol does what

back 30

turns stool black

front 31

bright red bleeding in bm

back 31

lower gi bleed or hemroids

front 32

opiod and iron does what

back 32

constipate

front 33

diverticulosis

back 33

as you age most of the time in large colon develope little pockets

front 34

the liver stores what

back 34

adek and fat soluble

front 35

phagpcytosis by kuffer cells

back 35

fixed macropages of the liver phagocytize worned formed elements and pathogens

front 36

ERCP (endoscopic retrograde cholangiopancreatography)

back 36

Endoscope through stomach if their are stones it will crush them !

front 37

colonoscopy

back 37

scope light, Gi doctor will go through the rectum Must be bowel prep Miralax and gatorade

no blue,red or purple dies,invasive procedure must have consent iron and coagulants physician may stop you must have a driver and you are put to sleep clear liquid diet

must monitor rectal bleeding and you want patient to pass gas

front 38

why they do Edg

back 38

to check for cancer,ulcers, gerd

front 39

globulin functions

back 39

include becoming part of lipoproteins,acting as carriers and acting as antibodies

front 40

edg

back 40

massive procedure upper scope/fast, need conscious consent anything invasive you need consent must have a driver 12 to 24 hours no food or drink

front 41

what happens when ast is in the liver, pancreas what disease could happen

back 41

acute hapatitis especially viral hepatocellular disease, shock, and acute pancreatitis.

moderately in billary tract obstruction,cirrhosis,chronic hepatitis, and liver tumors

front 42

aspartate aminotransferase -AST

back 42

enzyme found in large amounts in the liver and myocardial tissue, and smaller amounts in the pancreas muscles, kidneys, red blood cells, and brain it is release into bloodstream with tissue damage levels reflect with degree of damage

front 43

blood in stool

back 43

may indicate hemorrhoids, signs of cancer, or inflamatory diseases suchas ulcerative colitis

front 44

nausea,vomiting,bloating, excess gas

back 44

can be associated with gi disorders

front 45

fatty stools

back 45

pancreatic disease

front 46

clay colored stool

back 46

liver or gallbladder disease

front 47

clotting factors

back 47

produced by the live include prothrombin and fibrinogen which circulate the blood untill need for coagulation.

front 48

black colored stools

back 48

bleeding

front 49

hepatobillary scan

back 49

liver and gallbladder Npo must stay still

front 50

barium enema radiographic test

back 50

Goes up the rectum to high descending colon must have laxatives the day before to be cleaned out npo after testing force fluids encouraged fluids

front 51

Radiographic tests

barium swallow

back 51

you drink barium drink must be npo after procedure as long as they are not on fluid restriction force fluid clients may have white stools after and may need to order laxatives

front 52

lipid metabolism

back 52

the liver forms lipoproteins for transport of lipids of the blood to the other tissues.Liver also synthesize cholesterol and excretes excess cholesterol into bile to be excreted

front 53

essential amino acids are acquired by

back 53

diet

front 54

Amino acid Metabolism

back 54

The liver regulates the blood levels of amino acids based on tissue needs for protein synthesis of 20 amino acids needed to produce human protein the liver is able to sythesize 12.

front 55

carbohydrate metabolism

back 55

The liver regulates the blood glucose level by storing excess glucose as glycogen and performing glycogenolysis when blood glucose level is low.

front 56

If a person has messed up teeth

back 56

be aware of aspiration

front 57

aging and gastrointestinal system

back 57

decreased hcl, decreased mucous secretions,decreased elasticity to the rectal wall, weakness of intestinal wall

front 58

ALCOHOL AND GALLBLADDER ISSUES

back 58

Are specific for Gallbladder issues

front 59

aging and gastrointestinal system

back 59

weaker gag reflex / hcl backup,tooth loss, saliva production decreased

esophagus motility is less empty slower

front 60

AMYLASE and Lipase

back 60

WHEN HIGH CAN MAYBE HAVE PANCRIATITIS

front 61

BROKEN DOWN RED BLOODCELLS

back 61

TURNS INTO BILLIRUBIN

front 62

NEPHROLYSTATIS

back 62

KIDNEYSTONES

front 63

CHOLESTIAS

back 63

GALLSTONES

front 64

WHAT VITAMINS METABOLIZE MEDICATION

back 64

ADEK

front 65

IF YOUR BILLIRUBIN IS HIGH

back 65

HIGH IS FOR JAUNDICE

front 66

THE LIVER ACTIVATES WHAT

back 66

VITAMIN D

front 67

WHERE IS BILLI RUBIN MADE

back 67

LIVER AND SPLEEN

front 68

BILE IS STORE IN THE GALLBLADER AND MADE WHERE

back 68

THE LIVER

front 69

THE REASON WHY HYDROCLORIC ACID DONT EAT AT THE STOMACH

back 69

THE MUCOUS LINES IT

front 70

WHATS THE CLOTTING MECHANISM FOR THE STOMACH

back 70

BLOODVESSELS CONSTRICT PLATELETS GATHER TO FORM A PLUG AND COAGULANTS CASCADE CREATES A STABLE FIBRIN MESH

front 71

WHAT DOES TRYPSIN DO WHEN RELEASED FROM PANCREAS

back 71

CONVERTS POLYPEPTIDES TO PEPTIDES

front 72

WHAT DOES LIPASE DO WHEN RELEASED FROM FROM PANCREAS

back 72

CONVERTS EMULSIFIED FATS TO FATTY ACIDS AND GLYCEROL

front 73

WHAT DOES AMYLASE FROM PANCREAS WHEN RELEASED FROM PANCREAS

back 73

CONVERTS STARCH TO MALTOSE

front 74

bile salts in liver

back 74

emulsify fats

front 75

where is the liver and gallbladder, what side of the body.

back 75

Located on the right side of the body.

front 76

how many click sounds for a normal bm

back 76

5 to 30

front 77

how many click sounds for a hyperactive bm

back 77

30 plus

front 78

how many clicks for a hypoactive bm sound

back 78

fewer then 5 sounds per minute

front 79

how long should you ausultate

back 79

5 mins in total

front 80

carbohydrates are mostly digested where

back 80

the stomach

front 81

what happens when pyloric sphincter contracts

back 81

the stomach churns and relaxes at intervals so small amounts of chyme can go into the duodenum

front 82

what is the lumen surrounded by

back 82

The lower esophageal sphincter which relaxes to allow food bolus to enter stomach and contracts to prevent backflow of stomach contents

front 83

what happens if to much bile comes out

back 83

You can become Jaundice

front 84

where does most digestion occur

back 84

duodenum

front 85

what does the liver produce

back 85

It produces bile to break down fats

front 86

the end products of digestions goes where

back 86

absorbed back into the blood and lymph

front 87

The pylorus sphincter

back 87

guards entry to duodenum which is part of the small intestine

front 88

hepatopancreatic ampulla vater

back 88

is the entrance of the common bile duct and the pancreatic duct

front 89

The presence of food stimulates what

back 89

The parasympathetic sympathetic response which releases gastrin by gastrin mucosa which increases gastric juice

front 90

what does the pyloric sphincter do

back 90

no data