LIVER CIRRHOSIS

BY

DINU GEORGE,

1ST YR MSC NURSING,

ZNC

GASTROINTESTINAL SYSTEM

Definition

Liver cirrhosis is a chronic progressive disease of the liver characterised by diffused damage to cell with fibrosis and nodular regeneration.

Medical dictionary.

Wikipedia:

Cirrhosis is a consequence of chronic liver disease, characterised by replacement of liver tissue by fibrosis, scar tissue and regenerative nodules leading to loss of liver function.

Mayo clinic staff

Cirrosis is scaring of liver caused by many forms of liver disease and conditions, such as hepatitis and chronic alcohol abuse.

CLINICAL

FEATURES

ASCITIS

BRUSING AND BLEEDING

ITCHING AND PRURITIS

JAUNDICE

SPIDER NAEVI / SPIDER ANGIOMAS

GALL STONE

PALMAR ERYTHEMIAS

GYANAECOMASTIA

CAPUT MEDUSA

VARICES

MENTAL DISTURBENCES

MANAGEMENT

GENERAL MANAGEMENT

PROMOTION OF REST IMPROVE NUTRITION; Dietary restructyion of protein,

salt, water.

SKIN CARE REDUCE RISK FOR INJURY MONITERING AND MANAGING POTENTIAL

COMPLICATIONS HEPATIC ENCEPHALOPATHY FLUID VOL EXCESS

MEDICAL MANAGEMENT

TREATMENT OF UNDERLYING CAUSE PREVENT INFECTION: ANTIBIOTICS . eg;

cephalosporine ASITIS; FRUSAMIDE(40-80 mg/day) HEPATO RENAL SYNDROME; DIEURITICS HEPATIC ENCEPHALOPATHY; NEOMYCINE (1 mg

6th hrly), METRONIDAZOLE(250mg 8th hrly)

SURGICAL MANAGEMENT

TRANS JUGULAR INTRAHEPATIC PROTOSYSTEMIC SHUNT (TIPS)

DISTAL SPLENORENAL SHUNT (DSR) ENDOSCOPIC SCLEROTHERAPY BANDING OR LIGATION SCLEROTHERAPY AND BANDING BALLOON TAMPONADE LIVER TRANSPLANTATION

COMPLICATION PORTAL HYPERTENSION ESOPHAGEAL VERISES GASTRIC VARICIES PEREPHERAL EDEMA ASCITIS HEPATIC ENCEPHALOPATHY/ COMA HEPATORENAL SYNDROME PERITONITIS

THANKYOU