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.
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

Liver cirrhosis ppt