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(Client Centered) Pa Tho Physiology
(Client Centered) Pa Tho Physiology
↑ Alcohol
intake
Hepatocyte damage
Liver inflammation
Alterations in blood
and lymph flow
Liver necrosis
↓bilirubin
↓ ADH and ↓ metabolism metabolism,
aldosterone of protein and And/or biliary
detoxification carbohydrate tree damage
so increased ↓ fat or obstruction
levels metabolism
Fluid shift to
extravascular Malnutrition ↓ plasma ↓ bile in the Conjugated and
compartment ↓Wt. Loss proteins gastrointestin unconjugated
al tract and hyperbilirubine
mia
↑urobilinoge
Dyspnea n
Edema
Jaundice
Dark urine
↑serum
ammonia
Liver fibrosis and scarring Liver failure
Liver flap
Inability to
Portal hypertension metabolize
ammonia to
urea
Foul breath Pyuria
Splenomegaly
Hepatic
Anemia encephalopathy
Thrombocytop
enia
Agitation Confusion to
Leukopenia Death
hepatic coma