Cirrhosis of the LIver

One of the deadly type of cancer now adays is cancer of the liver (Cirrhosis of the Liver ) it is called hardening of the liver. Through my research from my nursing books and what i have learned in the school , Im gonna post this disease sign and symptoms and nursing mangement.
  1. Laennec's Portal cirrhosis- due to alcoholism
  2. postnecrotic cirrhosis -scar tissue due to acute viral hepatitis
  3. biliary cirrhosis- case of chronic biliary obstruction and infection (cholangitis)
Signs and Symptoms:
  • loss of appetite
  • nausea and vomiting
  • low grade fever
  • jaundice
  • later symptoms are;
  • obstruction of portal circulation, liver cannot function,so spleen and gastrointestinal affected and apt to diarrhea and constipation
  • weight loss
  • ascitis appear
  • jaundice
  • internal hemorrhage
Nursing management :
  • careful attention to patient
  • measure intake and output and recorded daily
  • bed rest and turn side to side to avoid pneumonia and bed sores
  • diet should high protein diet supplemented by Vitamin B complex and A, C, & K
  • encourage to eat at least small 3 times a day
  • oral hygiene for nausea and vomiting
  • Increase fluid intake to replace fluid loss during diarrhea
  • jaundice should bath without soap to avoid skin irritation
  • edema should lower sodium intake and carefully record intake & output daily
  • ascitis- ristrick sodium, elevate head to facilitate breathing
  • for hemorrhage manefestation like epistaxis, petechia and bleeding gum
  • avoid trauma
  • safe environmentcareful toothbrushing to avoid trauma of the gums
  • loose clothing

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