liver cirrhosis..

1. LIVER CIRRHOSIS
BY
DINU GEORGE,
1ST YR MSC NURSING,
ZNC

3. GASTROINTESTINAL SYSTEM

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

8. 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.

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

11. ASCITIS

12. BRUSING AND BLEEDING

13. ITCHING AND PRURITIS

14. JAUNDICE

15. SPIDER NAEVI / SPIDER ANGIOMAS

16. GALL STONE

17. PALMAR ERYTHEMIAS

18. GYANAECOMASTIA

19. CAPUT MEDUSA

20. VARICES

21. MENTAL DISTURBENCES

22. MANAGEMENT

23. 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

24. 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)

25. SURGICAL MANAGEMENT

TRANS JUGULAR INTRAHEPATIC PROTOSYSTEMIC
SHUNT (TIPS)

DISTAL SPLENORENAL SHUNT (DSR)

ENDOSCOPIC SCLEROTHERAPY

BANDING OR LIGATION

SCLEROTHERAPY AND BANDING

BALLOON TAMPONADE

LIVER TRANSPLANTATION

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

28. THANKYOU