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liver cirrhosis

QuestionAnswer
Etiology and Risk Factors • Chronic alcohol consumption • Viral hepatitis (B and C) • Fatty liver disease • Autoimmune hepatitis • Biliary obstruction • Long-term drug toxicity • Genetic disorders
Alcoholic cirrhosis Chronic alcohol abuse
Post-necrotic cirrhosis Viral hepatitis (B and C)
Biliary cirrhosis Bile duct obstruction
Cardiac cirrhosis Chronic right-sided heart failure
Metabolic cirrhosis Hemochromatosis and Wilson’s
Non-alcoholic steatohepatitis (NASH) Obesity and diabetes
A. Early (Compensated) Cirrhosis Clinical Manifestations • Fatigue • Weakness • Anorexia • Weight loss • RUQ discomfort
B. Late (Decompensated) Cirrhosis 1. Portal Hypertension 2. Hepatic Failure 3. Endocrine Changes 4. Neurologic Manifestations
Test – Result that is elevated in laboratory • ALT and AST – Elevated • Bilirubin – Elevated • Ammonia – Elevated
Test – Result that is decreased in laboratory • Platelets – Decreased • Albumin – Decreased
Considered the gold standard and confirms the diagnosis. C. Liver Biopsy
Medications Diuretics Lactulose Rifaximin Beta blockers Vit k albumin infusion
procedures • Paracentesis • Endoscopic variceal ligation • TIPS procedure (transjugular intrahepatic portosystemic shunt) • Liver transplantation
what to assess ( SWAB MIO) S kin integrity W eight A bdominal girl measurement B leeding M ental status I ntake and - O utput
what are the nursing diagnoses (RARE I ) • Risk for bleeding • Acute confusion • Risk for infection • Excess fluid volume • Imbalanced nutrition: Less than body Requirements
in Dietary Management what should be high and low? • High-calorie and high-carbohydrate diet • Low-sodium diet (less than 2 g per day key : HC , LS
Child-Pugh score and MELD score are used to determine prognosis and transplant priority
Created by: yatteyy
 

 



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