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Notes in
34 Anesthesia for Patients with Liver Disease
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Published
12/13/2023
Plasma {{c2::proteins}} are synthesized by the {{c1::liver}} and act as a depot for drugs.
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Serum {{c1::albumin}} levels reflect the synthetic function of the liver.
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A MELD score < {{c1::14}} means that the patient is intermediate or low surgical risk.
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The MELD score is more {{c1::objective}} than the Child-Pugh score.
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What are the fat-soluble vitamins stored by the liver?{{c1::ADEK}}
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Which blood transfusion therapy is used to increase coagulation factor levels?{{c1::Fresh frozen plasma (FFP) or prothrombin complex co…
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{{c2::Cholestatic}} liver disease will cause an elevation in {{c1::bilirubin}} and {{c2::alkaline phosphatase}}.
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The most common viruses responsible for hepatitis are {{c1::hepatitis A-D}}.
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{{c1::Alcoholic hepatitis}} is the most common form of drug-induced hepatitis.
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What antibiotics are associated with hepatitis (3)?{{c1::Sulfonamides, tetracycline, and rifampin}}
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Vomiting and diarrhea will cause {{c1::hypo}}kalemia and metabolic {{c1::alkalosis}}.
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Prothrombin time (PT) reflects the synthetic function of the {{c1::liver}}
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Chronic hepatitis is defined as persistent hepatic inflammation for longer than {{c1::6 months}}.
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What is the effect of cirrhosis on SVR and blood pressure?{{c1::Decreased}}
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Placement of a {{c2::percutaneous transjugular intrahepatic portosystemic shunt (TIPS)}} can reduce {{c1::portal hypertension}}.
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Cirrhosis may cause portopulmonary syndrome, leading to {{c1::pulmonary hypertension}}.
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The cirrhotic liver is very dependent on {{c1::hepatic arterial}} perfusion.
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The three components of the MELD score are {{c3::bilirubin}}, {{c2::INR}}, and {{c1::creatinine}}.
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The {{c1::MELD}} score is used to predict 90-day mortality in patients with end-stage liver disease.
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{{c1::Lower}} CVP reduce blood loss during surgical dissection of the liver.
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The first phase of liver transplantation surgery is the {{c1::pre-anhepatic}} phase (dissection).
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The {{c1::preanhepatic}} phase of liver transplantation begins with the surgical incision and ends with {{c2::cross-clamping of major arteries}}. …
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What is the major risk during the pre-anhepatic phase of liver transplantation?{{c1::Blood loss}}
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What form of dialysis should be immediately available for liver transplantation surgery?{{c1::CVVHD}}
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The {{c1::anhepatic}} phase of liver transplantation involves removal of the native liver and implanation of the donor liver.
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How does reperfusion of a donor liver affect potassium levels?{{c1::Increased (hyperkalemia)}}
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The {{c2::neohepatic}} phase of liver transplantation begins with {{c3::reperfusion of donor liver}} and ends with {{c1::biliary anastomosis}}.
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How does reperfusion of a donor liver affect calcium levels?{{c1::Decreased (hypocalcemia)}}
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How does reperfusion of a donor liver affect blood pressure?{{c1::Decreased (hypotension)}}
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12/13/2023
Elevated CVP post-hepatic graft can cause {{c1::congestion}} leading to graft failure.
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