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~ is a chronic disease, scarring of the liver.

– destruction in the liver within the parenchymal cells.

Types of Cirrhosis

– Laennec’s Portal Cirrhosis

  • most common type: due to alcoholism.

– Biliary Cirrhosis

  • results from chronic biliary obstruction and infection

– Post Necrotic Cirrhosis

  • Usually is a result from a previous hepatitis infection.

Complications of Cirrhosis can include

  • Esophageal Varices
  • Portal Hypertension
  • Hepatic Encephalopathy
  • Ascites  ( ♥ Assess for Ineffective Breathing Pattern)



  • The patient might a Laveen Shunt
  • Paracentesis procedure

Esophageal Varices

  • Blakemore Tube
  • Portocaval Shunt

Hepatic Encephalopathy

goes in 4 stages

Assessment: Asterexis, Fetor Hepaticus

Treatment: Pruritis, Blakemore and Lavage, Lo Protien diet


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