NCLEX Review & Nursing School

Cirrhosis

~ 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)

 

ASCITES:

• 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