Based on the assessment data, the major nursing diagnosis for the patient are: Activity intolerance related to fatigue, lethargy, and malaise. Imbalanced nutrition: less than body requirements related to abdominal distention and discomfort and anorexia.
In this manner, how do you assess a patient with liver disease?
Liver disease diagnosis can generally be made using a carefully obtained history, physical examination, and a few laboratory tests. Initial laboratory testing should include aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), and total bilirubin.
Accordingly, how do you care for someone with cirrhosis?
If you have cirrhosis, be careful to limit additional liver damage:
- Don’t drink alcohol. Whether your cirrhosis was caused by chronic alcohol use or another disease, avoid alcohol. …
- Eat a low-sodium diet. …
- Eat a healthy diet. …
- Avoid infections. …
- Use over-the-counter medications carefully.
In what location would the nurse palpate for the liver?
To palpate the liver, place your left hand under your patient, parallel to and supporting the right 11th and 12th ribs and your right hand lateral to the rectus muscle with your fingertips below the liver border (as identified by dullness during percussion).
Is liver palpable in cirrhosis?
Conclusion: We suggest that a palpable liver in the epigastrium is a useful physical sign of cirrhosis in clinical practice.
What are common assessment findings in a cirrhosis client?
Patients with cirrhosis usually present with signs of jaundice, palmar erythema, spider angiomata, gynaecomastia and alteration of mental status arising due to complications of cirrhosis. Abdominal examination may show signs of abdominal distension, caput medusae, splenomegaly and flank dullness on percussion.
What are the complications of liver cirrhosis?
Complications of cirrhosis can include:
- High blood pressure in the veins that supply the liver (portal hypertension). …
- Swelling in the legs and abdomen. …
- Enlargement of the spleen (splenomegaly). …
- Bleeding. …
- Infections. …
- Malnutrition. …
- Buildup of toxins in the brain (hepatic encephalopathy). …
- Jaundice.
What are the key nursing interventions for impaired liver function?
Nursing care planning for patients with liver cirrhosis includes promoting rest, providing adequate nutrition, skin care, reducing risk for injury, and monitoring and managing complications.
What are the nursing interventions for ascites?
Management techniques for ascites include the following:
- Sodium restriction helps reduce fluid retention.
- Diuretics such as spironolactone (Aldactone), furosemide (Lasix), amiloride (Midamor), metolazone (Mykrox, Zaroxolyn), and mannitol (Osmitrol) help remove excess fluid.
What does a hepatology nurse do?
The Hepatology Nurse specialist provides clinical assessment, treatment, counselling and education on aspects of liver disease support mainly within, but occasionally outwith NHS Lothian. Develop the role by using evidence-based practice and continuously improve own knowledge following PREP guidelines.
What is the recommended dietary treatment for a client with chronic cholecystitis?
One big meal can throw off the system and produce a spasm in the gallbladder and bile ducts. Stick to a low-fat diet with lean proteins, such as poultry or fish. Avoid fatty meats, fried food, and any high-fat foods, including whole milk products.
What is the RNS role in caring for a patient with hepatic failure?
Nursing care for patients with liver failure focuses on supporting body systems, managing signs and symp- toms of decreased liver function, and avoiding worsening cerebral edema. Monitor level of consciousness, blood pressure, volume status, blood and coagulation tests, and signs and symptoms.
What should you monitor in a patient with cirrhosis?
Patients with cirrhosis should undergo routine follow-up monitoring of their complete blood count, renal and liver chemistries, and prothrombin time. The author’s policy is to monitor stable patients 3-4 times per year.
Which therapy for cirrhosis is considered nutritional therapy?
Cirrhotic patients are almost always on a low-sodium diet if they have decompensated disease with ascites. It is important that patients be educated regarding a low-sodium diet, especially patients with poorly responsive ascites. In addition, cirrhotic patients need adequate protein intake to prevent muscle wasting.