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NUR 460 - Liver Cancer

by: ndp33

NUR 460 - Liver Cancer 460


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These notes cover the diagnostic tests, surgical management and non-surgical management of liver cancer.
Nursing Concepts IV: Health of Maturing Adults / Chronic Disease
Class Notes
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This 2 page Class Notes was uploaded by ndp33 on Thursday July 28, 2016. The Class Notes belongs to 460 at Niagara University taught by in Summer 2016. Since its upload, it has received 11 views. For similar materials see Nursing Concepts IV: Health of Maturing Adults / Chronic Disease in Nursing and Health Sciences at Niagara University.


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Date Created: 07/28/16
Liver Cancer Liver cancer -s/sx- early -Pain, a dull continuous ache in RUQ, epigastrium or back -weight loss, loss of strength, anorexia, or anemia may occur -jaundice if bile ducts occluded, ascites if obstructed portal veins Note: primary liver tumors few cancers originate in liver usu associated w/ hep B and C hepatocellular carcinoma (HCC) -liver metastasis liver is a frequent site of metastatic cancer Nonsurgical management of liver cancer: -underlying cirrhosis, which is prevalent in patients with liver cancer, which increases risks of surgery -major effects of nonsurgical therapy may be palliative -radiation therapy, chemo therapy -percutaneous biliary drainage -other nonsurgical treatments Surgical Management of liver cancer: -treatment of choice for hepatocellular carcinoma (HCC) if confined to one lobe and liver function is adequate -liver has regenerative capacity, and surgical approaches include: lobectomy cryosurgery liver transplant Diagnosis tests for liver include: -Liver function studies -serum aminotransferase: AST, ALT, GGT, GGTP, LDH elevated w/ liver dmg, alcohol abuse, liver failure -serum protein studies altered levels in chronic hepatitis, edema, ascites, cirrhosis, obstructive jaundice, viral hepatitis -pigment studies: direct and indirect serum bilirubin, urine bilirubin, and urine bilirubin and urobilinogen measure the ability of the liver to secret bilirubin abnormal results with liver and biliary tract disorders - prothrombin time prolonged in liver disease -serum alkaline phosphatase made in bones, liver, kidneys, intestines- excreted through the liver alterations indicate biliary tract obstruction -serum ammonia elevated in liver failure -cholesterol elevated with biliary obstruction, decreased in liver disease Additional Diagnostic Studies include: -liver biopsy determines changes in liver tissue -ultrasonography presence of masses, changes in size -CT/MRI hepatic neoplasms, cyst, abscesses, hematomas may differentiate b/t obstructive and non-obstructive jaundice -ERCP visualize biliary structures via endo -cholangiogram to visualize gallbladder and bile duct


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