NAME: Kristine Diane Q.

Aviles
YEAR: BSN3

NURSING CARE PLAN FOR liver cirrhosis

ASSESSMENT NURSING INFERENCE OBJECTIVES NURSING RATIONALE EVALUATION
DIAGNOSIS INTERVENTION
Subjective: Independent: Short Term:
Fluid volume Cirrhosis of the After 8 hours of  Measure
“ napansin ko na excess liver is a chronic nursing intake and
lumalaki ang related to disease that interventions , output ,
tiyan ko” as compromised causes cell the patient will weigh daily,
verbalized by regulatory destruction demonstrate and note
the patient. mechanism. and fibrosis stabilized fluid weight gain
(scarring) of volume and more than
hepatic tissue. decreased 0.5 kg/day.
Fibrosis alters edema.
normal liver
Objective: structure and
- anasarca vasculature,
- weight gain impairing blood
- oliguria and lymph flow
- v/s and resulting Dependent: Long Term:
T: 37.3 in hepatic
P: 89 insufficiaency
RR: 20 and
BP: 120/80 hypertension in
the portal vein.
Complications
include Collaborative:
hyponatremia,
water retention,
bleeding
esophageal
varices,
coagulopathy,
spontaneous
bacterial
peritonitis, and
hepatic
encephalopathy
.