dr.sadeqal-fayyadh - college of nursing al... · dr.sadeqal-fayyadh hepatobiliary ... plan nursing...
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University of Baghdad-College of Nursing
Adult Nursing Department
1st Semester
2016-2017
Common Disorders of Liver, Gallbladder & Pancreas
Dr.Sadeq AL-Fayyadh
Hepatobiliary & Pancreatic Systems
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My Journey: Who Am I?October /1st/2000 was the first day of my journey in nursing. Four years later I graduated from the College of Nursing
/University of Baghdad with honor roll Bachelor degree in nursing science.
One year later I finished my clinical rotation at Medical City/Nursing Home Hospital @ Post neurosurgical ICU.
After that, my CoN/UoB brought me back to be a clinical instructor @ Adults Nursing Department.
November/1st /2007 was my first day at graduate level. Two years later I graduated from CoN/UoB with a Master degree in
Adult nursing.
I have taught several undergraduate courses, focused mainly on Neuroscience & Neurosurgical nursing specialty.
I spent the past four years in the USA to get the terminal degree in Nursing. I got it from the Oklahoma City University/Kramer
School of Nursing.
Reading is my favorite hobby.
I have three flowers in my life!
Finally, my favorite quote is: What has he found who has lost God? And what has he lost who has found God?
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Here is my contact info: [email protected]
Here is my course work schedule:
Sunday: Clinical Training-BTH
Monday: Clinical Training-BTH
Tuesday: Office hours & research focus
Wednesday: Quality Assurance committee focus
Thursday: Day off
Friday: Day off
Saturday: Health Assessment-CON
Come over & let us learn together!
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My Instructionalphilosophy
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So, what do you all think about the term?
Hepato-Biliary-Pancreatic Systems
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Conduct data collection when caring for a patient with common
disorders of the liver, gallbladder, & pancreas.
Identify tests/procedures, which are used to diagnose common
disorders of the liver, gallbladder, & pancreas.
Plan nursing care for patients with common liver, gallbladder, &
pancreas disorders.
Describe therapeutic measures that are used for patients with
common disorders of the liver, gallbladder, & pancreas.
Learning Outcome
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Covered Topics:Nursing care for patient with the following Hepato-biliary-pancreatic
disorders:
Part1: Patients with Hepatic Disorders
Hepatitis
Liver Cirrhosis
Part2: Patients with Pancreatic Disorders
Pancreatitis
Cancer of the Pancreas
Part3: Patients with Gallbladder Disorders
Cholecystitis
Cholelithiasis
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The Liver: An Introductory Framework
Bodys Refinery Over 400
functions!
Its principal role is
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Liver, Gallbladder, & Pancreas Anatomical Presentation
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Liver is the largest organ in the human body. It weighs ~ 3 lb.
It has 2 main lobes, located just under the diaphragm on the right side of the body.
It can lose 75 % of its tissue (to disease or surgery) without ceasing to
function.
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Functions of the Liver
Metabolizes CHO, Amino Acid , lipid
Synthesizes plasma proteins
Stores vitamins & minerals
Forms blood clotting factors
Detoxifies drugs & toxins
Produces & excretes bile
Regulates hormone function
Phagocytic activities by Kupffer Cells
Acts as reservoir for blood volumeActivation of Vitamin D
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To Summarize!
The liver:Changes food into energy! That's why Pts with liver disorders have>>>>
Has a principle role in clotting function>>>
Form & secret bile>>>
Has a principle role in drugs, alcohol & toxins metabolism>>>
& much more vital functions!
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Part1: Patients with Hepatic Disorders
Hepatitis
Liver Cirrhosis
Hepatitis
Hepa means liver, itis means inflammation
Inflammation of the hepatocytes
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Quiz!
Many patients with HCV infection remain
clinically undiagnosed for a long time.
*Due to a lack of liver-specific symptoms
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Liver Cirrhosis
is a chronic, progressive disease that causes extensive degeneration & destruction of parenchymal liver cells.
Most patients are between ages 40 & 60 years old
Incidence
Gender
Its twice as common in men as in women
Age group
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Part2: Patients with Pancreatic Disorders
Pancreatitis
Cancer of the Pancreas
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Pancreatitis
An inflammation of the pancreas
An ongoing pancreatic
cellular damage & decreased
pancreatic enzyme
functioning often following
repeated occasions of acute
pancreatitis.
Chronic pancreatitis
An inflammation of the
pancreas be caused by a
process called
autodigestion. In which
release of digestive enzymes into the gland
Acute pancreatitis
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Cancer of the Pancreas
The pancreas can also be the site of
metastasis from other tumors
MetastasizePrimary
The cancerous cells are originally aroused
from the pancreatic cells themselves
Survival time
is often 4 to 6 months!
The prognosis for pancreatic cancer
is
Poor
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Part3: Patients with Gallbladder Disorders
Cholecystitis
Cholelithiasis
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The Biliary Tract
Gallbladder
Common
bile duct
Cystic duct
Hepatic Duct
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Disorders of the Gallbladder
Cholelithiasis Cholesterol & bile stone
formation
Cholecystitis Inflammation &/or
obstruction
Stones
Bacterial
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Thank You for Active Listening & Participation!
V/r,Sadeq AL-Fayyadh, PhD.Ed
For an in-depth study go ahead & read the covered topics in : Understanding Medical Surgical Nursing, 5th ed. 2015 Brunner & Suddarths Textbook of Medical-Surgical Nursing 10th ed.2010
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Quiz!
Patient with cirrhosis may develop
gynecomastia?
Fat intolerance & malabsorption
syndrome with fatty stools & diarrhea may
develop in patients with pancreatitis?
Rationalize the following:
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Thank You for Active Listening & Participation!
V/r,Sadeq AL-Fayyadh, PhD.
For an in-depth study, go ahead & read the covered topics in : Understanding Medical Surgical Nursing, 5th ed. 2015 Brunner & Suddarths Textbook of Medical-Surgical Nursing 10th
ed.2010