Nursing Care and Interventions with Diseases of the Liver, Gallbladder Pancreas课件.ppt

Nursing Care and Interventions with Diseases of the Liver, Gallbladder Pancreas Keith Rischer RN, MA, CEN Today’s Objectives… Review pathophysiology and systemic manifestations of the inflammatory response. Compare and contrast pathophysiology manifestations of diseases of the liver, pancreas and gallbladder. Interpret abnormal laboratory test indicators of liver, pancreatic and gallbladder function. Identify the diagnostic tests, nursing priorities, and client education with diseases of the liver, pancreas and gallbladder. Analyze assessment data from clients with cirrhosis to determine nursing diagnoses and formulate a plan of care for clients with diseases of the liver, pancreas and gallbladder. Prioritize assessment based nursing care for clients experiencing chronic pancreatic or gall bladder disease. Integrate nutrition therapy in care of clients with hepatic, pancreatic or gallbladder disease. Inflammatory Response Occurs in response to injury Localized Immediate Beneficial Appropriate level of response Non Specific What is a Mast Cell? Bag of Granules Located in connective tissue close to blood vessels Histamine released Increase blood flow Increase vascular permeability Binds to H1, H2 receptors Causes Bacteria-viral Trauma Lacerations Allergic response Bites Burns Purpose of inflammation Neutralizes and Dilutes Toxins Removes necrotic materials Provides an environment for healing Systemic Manifestations of Acute Inflammation Fever/chills Benefits Increased killing of microorganisms Increased phagocytosis by neutrophils Increased activity of interferon Leukocytosis Plasma Proteins Patho Review Liver Produces bile…elimination of bilirubin Drug/hormone metabolism CHO-fat-protein metabolism Clotting factor synthesis Storage of vitamins minerals Gallbladder Store concentrate bile Pancreas Endocrine Exocrine Hepatitis Definition: Inflammation of the Liver Causes: Viral (most common) A, B, C, D, E Toxic Amiodorone, Tylenol, statins Alcohol He