Professional Documents
Culture Documents
Liver Cirrhosis Case Pres
Liver Cirrhosis Case Pres
Cirrhos
is
Objectives
This case study aims to come
up with a more in-depth
understanding of the
disease, Liver Cirrhosis for us
(and other nursing students)
to be able to come up with
the best nursing care plan in
the care of patients with the
said disease.
Cirrhosis of the Liver
The liver, the largest organ in the
body, is essential in keeping the body
functioning properly. It removes or
neutralizes poisons from the blood,
produces immune agents to control
infection, and removes germs and
bacteria from the blood. It makes
proteins that regulate blood clotting
and produces bile to help absorb fats
and fat-soluble vitamins. You cannot
live without a functioning liver.
Cirrhosis of the Liver
Cirrhosis is a potentially life-
threatening condition that occurs
when scarring damages the liver.
This scarring replaces healthy tissue
and prevents the liver from working
normally. Cirrhosis usually develops
after years of liver inflammation.
When chronic diseases cause the
liver to become permanently injured
and scarred, the condition is called
Cirrhosis.
Three major forms
Laennec’s (alcohol
induced) Cirrhosis
Three major forms
Postnecrotic
(micronodular) Cirrhosis
Three major forms
Biliary Cirrhosis
Patient’s Profile
ETIOLO
GY
Chronic alcoholism
Chronic Hepatitis C, B
and D
Autoimmune
Hepatitis
Inherited
Diseases
Nonalcoholic
Steatohepatitis
Blocked Bile
Ducts
Drugs, toxins and
infections
Clinical
Manifestations
Weakness,
fatigue
Anorexia
Stomatitis
Tea colored
Urine
Clay colored
Stool
Amenorrhea
Decrease
sexual urge
Loss of
pubic/axilla hair
Hepatomegaly
Jaundice
Pruritus or
Urticaria
Hematological
Changes
Endocrine
Changes
GIT Changes
Neurological
Changes
Complic
ations
Edema and
Ascites
Bruising and
Bleeding
Jaundice
Itching
Gallstones
Toxins in the blood
or brain
Sensitivity to
medication
Portal
Hypertension
Varices
Insulin resistance
and type 2 DM
Liver Cancer
Problems in other
organs
Pathophysiolo
gy
Persistent
Fibrotic
changes
Injury toor
Fibrosis
the liverwill
occur
Drugs
virus
toxins
alcoholis
syste
infectio
mic
ns m
Alteration in
physiologic function
Nutritional
metabolism
Fibrosis
Increase Portal
Pressure
Process can
Without adequate
and proper
be arrested
regeneration
with
adequate
liver
regeneratio
Deat n
Diagnostic
Evaluation
Ultrasound of Whole
Abdomen
The liver is unenlarge exhibiting smooth
contour and heterogenous parenchymal
echopatter. There is no focal mass. Undilated
bile canaliculi, portal and systemic vessels.
There is no free peritoneal fluid.