LIVER CIRRHOSIS

PRESENTED BY-
MS. EKATA SINGH
NURSING TUTOR
OBSTETRIC & GYNEACOLOGY
NURSING
LIVER
CIRRHOSIS
INTRODUCTIO
N
DEFINITION
ETIOLOGY AND
RISK FACTOR
PATHOPHYSIOLOG
Y
 STAGES
HEALTHY FATTY LIVER CIRRHOSI
LIVER LIVER FIBROSIS S
CLINICAL
MANIFESTATION
 NEUROLOGICAL

• Hepatic encephalopathy
• Peripheral neuropathy
• Asterixis
 GASTROINTESTINAL
• Anorexia
• Dyspepsia
• Nausea , vomiting
• Change in bowel habits
• Dull abdominal pain
• Gastritis
• Hematemesis
• Esophageal and gastric varices
• Hemorrhoids
PURPURA
JAUNDICE
SPIDER
ANGIOMA
PALMAR
ERHYTHEMA
CAPUT
MEDUSAE
METABOLIC
HEMATOLOGIC
SIGN AND SYMPTOMS
DIAGNOSTIC
EVALUATION
MANAGEME
NT
 NURSING
DIAGNOSIS
1. Fluid volume excess related to portal
hypertension(ascites).
2. Imbalance nutrition less than body
requirements related to disinterest in food.
3. Acute pain related to abdominal pressure.
4. Risk for disturbed thought process related to
elevated ammonia level.
5. Risk for infection related to impaired immune
responses.