00:00 Let me show you some examples. 00:02 So, you know, these are the four enzymes that are found in the liver. 00:05 You know, what the normal values are. 00:07 These are enzymes that help break down proteins and they have a really important role in liver function and bone development. 00:14 So they have increased levels, this could indicate there's an underlying medical condition and it probably involves the liver, the bones, or the gallbladder. 00:24 So see we use these tests not just for cholecystitis that can tell us other things about what's going on with your patient. 00:31 Now ALT elevations are most often caused by NAFLD or non-alcoholic fatty liver disease or alcoholic liver disease. 00:41 So an ALT is elevated, we know, we have to rule out and think what's the implications of liver disease. 00:49 ALP elevations can be an indication of bone metastasis in a patient with cancer. 00:55 So my patient may not be coming in for cholecystitis. 00:58 But if I know they have cancer and I see that the ALP levels are going up, going to start thinking about metastasis. 01:04 That's when that pain assessment is so critically important. 01:08 So that wraps up the liver enzymes. 01:11 I hope the next time you take a look at those, you don't let it overwhelm you. 01:16 Take our notes with you, compare the reasons, look at the whole clinical picture, and you're going to get a great idea of what's going on in that system.
The lecture Abnormal Liver Enzyme Values – Blood Tests for Cholecystitis (Nursing) by Rhonda Lawes, PhD, RN is from the course Gallstones and Cholecystitis: Diagnosis (Nursing).
What liver function elevation might be an indication of bone metastasis?
5 Stars |
|
5 |
4 Stars |
|
0 |
3 Stars |
|
0 |
2 Stars |
|
0 |
1 Star |
|
0 |