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

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?

Here is my contact info: saalfayyadh@my.okcu.edu

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!

My Instructionalphilosophy

So, what do you all think about the term?

Hepato-Biliary-Pancreatic Systems

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

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

The Liver: An Introductory Framework

Bodys Refinery Over 400

functions!

Its principal role is

Liver, Gallbladder, & Pancreas Anatomical Presentation

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.

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

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!

Part1: Patients with Hepatic Disorders

Hepatitis

Liver Cirrhosis

Hepatitis

Hepa means liver, itis means inflammation

Inflammation of the hepatocytes

Quiz!

Many patients with HCV infection remain

clinically undiagnosed for a long time.

*Due to a lack of liver-specific symptoms

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

Part2: Patients with Pancreatic Disorders

Pancreatitis

Cancer of the Pancreas

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

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

Part3: Patients with Gallbladder Disorders

Cholecystitis

Cholelithiasis

The Biliary Tract

Gallbladder

Common

bile duct

Cystic duct

Hepatic Duct

Disorders of the Gallbladder

Cholelithiasis Cholesterol & bile stone

formation

Cholecystitis Inflammation &/or

obstruction

Stones

Bacterial

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

Quiz!

Patient with cirrhosis may develop

gynecomastia?

Fat intolerance & malabsorption

syndrome with fatty stools & diarrhea may

develop in patients with pancreatitis?

Rationalize the following:

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