Question

For patients with liver failure due to cirrhosis liver, transplantation may be the only possible treatment.

please answer the below questions

• How is the care for the patient undergoing liver transplantation different from the care of a regular surgical patient?
• What patient teaching is needed after a patient receives a liver transplant?
• Should the patient with alcoholic cirrhosis be a candidate for a liver transplant?
• Should government funds be used in the care of patients with cirrhosis who continue to consume alcohol?

Answer 1

1.Liver transplantation has become a widely accepted treatment for a variety of liver diseases, such as acute liver failure, liver malignancy, alcoholic cirrhosis, liver malignancy, and many metabolic abnormalities.

Proper care should be ensured for patients who are undergoing liver transplant procedure. Especially patients with multiple comorbidities and organ dysfunction, are undergoing livertransplantation, should receive an appropriate critical care management, to support prompt graft recovery and prevent systemic complications.

Care for patient undergoing liver transplant is important because it has some complications such as immunosuppression, liver graft dysfunction, post transplant infections, recurrent diseases after transplant, metabolic complications, renal complications, biliary complications.

Potential liver transplant patients should ideally receive all necessary vaccinations before transplant because immuno suppressants significantly suppress T cell function and increase risk for infection.

The recipient who smoke should be councelled regarding smoking cessation because the adverse effect of tobacco are possibly heightened. This include stroke, coronary artery diseases, hepatic artery thrombosis which can lead to graft loss.

A thorough assessment of the patients comorbidities actuates the perioperative risks. Pre transplant infections disease screening such as dental, ophthalmic, and otorhinolaryngological and urogenital of both donors and recepients is very important to avoid post operative infectious complications.

These steps need not to take in other regular surgeries.

2.teaching

Teach to recognize the symptoms of organ rejection:

Feeling tired

Pain or tenderness in abdomen

Fever

Yellowing of the skin and the eyes

Dark colored urine

Light colored stool

If anything is present then consult doctor.

Diet and lifestyles

Eat healthy foods

Exercise

Do not smile

Don't drink alcohol

Protect yourself from soil exposure by wearing shoes, socks, long sleeve dress.