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This Concept Map, created with IHMC CmapTools, has information related to: GI Week 1 COMBINED, Liver Transplant Selection Committee (surgeons, hepatologists, social workers, chemical dependence specalist, psychiatrist, bioethicist, anasthesiologist) Approved Immediate placement on UNOS waitlist, Liver is essential for life Therefore when failing needs a transplant, Liver Transplant Selection Committee (surgeons, hepatologists, social workers, chemical dependence specalist, psychiatrist, bioethicist, anasthesiologist) Rejected Either the risk of surgery outweighs the benefits or the patient is not ill enough for transplant, lobules functional units are acini, Gallbladder apical Mucosa*, Therefore when failing needs a transplant Post Liver transplant care, Cholagiocytes line Biliary ducts and Release bicarbonate and water, Hepatocytes function - Process and store carbs, lipids (eg cholesterol), proteins - Make blood proteins (albumin, clotting factors) - Detoxification - Produces bile - Process hormones (steroids and vitamin D), Liver Transplant requires Diagnosis of liver failure, Kupfer cells are Phagocytic immune cells, digest additional bacteria that were absorbed by GI. Are part of reticulendothelial system, Non-parenchymal Stellate cells, Therefore when failing needs a transplant Liver pathology, intercalated ducts* feed into interlobular ducts, Immediate placement on UNOS waitlist Approval by Ohio Solid Organ Transplant Consortium (OSOTC) Liver Transplant Review Committee (representatives from transplant programs and the public), Model for End-stage Liver Disease (MELD) score Factors: creatinine, total bilirubin and INR Range: 6-40 (40 is highest mortality w/o transplant) decision by Liver Transplant Selection Committee (surgeons, hepatologists, social workers, chemical dependence specalist, psychiatrist, bioethicist, anasthesiologist), acini connected by intercalated ducts*, Post Liver transplant care comprises Prophylaxis against infection, Treatment facility conducts a pre-operative evaluation (consent, medical review, insurance, education, psych.) Selected from waitlist Transpant surgery. Donor liver (UNOS) must be same blood type and similar size, Gallbladder basal Adventitia*, Parencymal Hepatocytes