hepatic failure tito a. galla. healthy liver liver function metabolism detoxification process ...
TRANSCRIPT
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HEPATIC FAILURE
TITO A. GALLA
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HEALTHY LIVER
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LIVER FUNCTION
METABOLISM DETOXIFICATION PROCESS PROTEIN SYNTHESIS MANUFACTURE OF CLOTTING FACTOR PRESERVATION OF IMMUNOCOMPETENCE
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COMMON CAUSE OF FULMINANT HEPATIC FAILURE
ACETAMINOPHEN (TYLENOL) VIRAL INFECTION ACUTE FATTY LIVER HYPOVOLEMIC SHOCK WILSON’S DISEASE
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ACETAMINOPHEN (TYLENOL)
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VIRAL HEPATITIS
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ACUTE FATTY LIVER
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HYPOVOLEMIC SHOCK
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WILSON’S DISEASE
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CHRONIC CAUSE OF LIVER FAILURE
CIRRHOSIS LONG TERM RIGHT-SIDED HEART FAILURE NECROTIC DAMAGE
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CIRRHOSIS
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OTHER DRUGS THAT CAUSED HEPATIC FAILURE
TETRACYCLINE- to treat infxn ISONIAZID- long txt affects liver/PTB MAOI- Monoamine Oxidase- antidepressant
VALPROIC ACID- to treat convulsion AMIODARONE- to treat dysrhythmias MYTHYLDOPA- to treat hpn AMANITA MUSHROOM- hallucinogenic
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AMANITA MUSHROOM
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OTHER CONDITIONS
SEPTIC SHOCK- toxic and bacteria
HEAT STROKE- exposure to sun ACUTE CIRCULATORY FAILURE
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SIGNS AND SYMPTOMS
GI BLEEDING AGITATION COMA RENAL FAILURE RESPIRATORY DISTRESS
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COMPLICATIONS OF HEPATIC FAILURE
HEPATIC ENCEPHALOPATHY HEPATORENAL SYNDROME GI HEMORRHAGE HYPOGLYCEMIA RESPIRATORY FAILURE SPONTANEOUS BACTERIAL
PERITONITIS
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HEPATIC PORTAL VEIN
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ESOPHAGEAL VARICES
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ESOPHAGEAL VARICES
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HEPATIC ENCEPHALOPATHYMANIFESTATIONS
PERSONALITY CHANGES SLURRED SPEECH AGITATION PROGRESS TO COMA ASTERIXIS REVERSE SLEEP
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HEPATIC ENCEPHALOPATHY MEDICATIONS
LACTULOSE NEOMYCIN METRONIDAZOLE MANITOL
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OTHER MEDICATIONS
COLLOID – hetastarch/plasma protein fraction
- for ascites CRYSTALLOID – normal
saline/ringers lactate- to prevent hypoglycemia
CLOTTING – vitamin k / fresh frozen plasma
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HEPATORENAL SYNDROME
ALTERATION IN BLOOD CIRCULATION
ELECTROLYTES IMBALANCE HYDROGEN IONS ACCUMULATION VASOACTIVE SUBSTANCE
ACCUMULATES DECREASE FILTRATION OF
GLOMERULUS OLIGURIA
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MEDS AND INTERVENTION FOR HEPATORENAL SYNDROME
LIVER TRANSPLANT TRANSJUGULAR INTRAHEPATIC
PORTOSYSTEMIC SHUNT (TIPS) LIVER DIALYSIS
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VITAL SIGNS
SBP - less than 90 mmHg HR - more than 120 bpm TEMP - mildly elevated RR - tachypneic
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DIAGNOSTIC AND LABORATORY
SERUM BILIRUBIN - elevated AST (SGOT) - elevated ALT (SGPT) - elevated PROTHROMBIN TIME - prolonged
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PHYSICAL EXAMINATION
NEUROLOGIC MILD CONFUSION TO COMA PERSONALITY CHANGES ASTERIXIS – flapping tremor
PULMONARY CRACKLES LABORED RESPIRATION
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PHYSICAL EAMINATION GASTROINTESTINAL
HEMATEMESIS AND MELENA ASCITES HEPATOMEGALY/SPLEENOMEGALY FETOR HEPATICUS – bad breath DIARRHEA
SKIN JAUNDICE SPIDER NEVI- dilated capilary ECCHYMOSIS AND PETECHIAE – local hemorrhage PRURITUS- itching EDEMA
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JAUNDICE