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Health Care > STUDY GUIDE > NURS 6560 Final Exam Study Guide (All)

NURS 6560 Final Exam Study Guide

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NURS 6560 Final Exam Study Guide Liver Biliary Tract, Pancreas, Spleen • Evaluation, differential diagnosis, diagnostic studies, and treatment options 1.Resection of the liver and regen ... eration and follow up labs pp 546-548 -commonly indicated for primary and secondary malignant tumors and symptomatic benign tumors -May also but indicated in traumatic injury, infection/abscesses, and living donor transplantation -after resection, liver function will be impaired for several wks -Regeneration starts within 24hr with hepatic cell replication and has considerable regeneration within 10 days and completed regeneration by 4-5wks. -growth consists of formation of new lobules and expansion of residual lobules -Resection is contraindicated in cirrhosis due to the liver not being able to meet metabolic demand for regeneration of tissue. -Child-Pugh classification: based on amount of ascites, degree of encephalopathy, albumin, total bilirubin and PTT/PT levels; this predicts mortality in pts with cirrhosis after hepatic resection -Child-Pugh A and selective B pts are candidates for resection -up to 80% of liver can -MELD score: used to improve allocation of liver transplant to cirrhosis pts with highest risk of death; also used to assess liver function in pts undergoing resection 2 Types of Hepatic Resections: anatomical (based on segmental liver anatomy) and nonanatomical -Anatomical resections are proffered due to less blood loss, and lower incidence of positive resection margins with malignancy [Show More]

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