ManagementofPatientswithProblemsofLiver.pptVIP

* Liver Flap or Asterixis * * * The patient with liver disease/chirrosis due to alcoholism has this danger if untreated/unanticipated—can manifest 48-72 hours after last drink * Valium 10mg PO TID/QID 1st 24 hrs—then 5mg * * * * * * * * * Anticholinergics: Bentyl scopalamine: spasmolyitic * * * * * Sim’s Position: lay on left side with right knee flexed. T-tube prevents bile from spilling into the peritoneal caviety and maintains patency of the duct. * * * Nodular surface and structures – changes in blood/bile/lymph/metabolite flow inside liver due to destruction of the hepatocyte (functional