1 what is the major problem during surgery for liver cirrhosis patient 2 What are the...

1 what is the major problem during surgery for liver cirrhosis patient

2 What are the risks factors in liver cirrhosis patient for general anestahesia? Explain how do effect of these risk factors on patient.

Expert Solution

1. Major problem during surgery for liver Cirrhosis are-

Hemorrhage
pleural effusion
subphrenic infection.
Pneumothorax
Bacterial Peritonitis
Variceal bleedings

2. Risk factors seen in liver Cirrhosis patients for general anesthesia are -

Right shift in oxygen-hemoglobin curve
Ascites induced hypoventilation, hypoxemia may occur
Anemia, leucopenia, thrombocytopenia and coagulopathy
Encephalopathy
Renal dysfunction
Hepatorenal syndome

Surgery and general anesthesia carry increased risks in the patient with cirrhosis. Anesthesia reduces cardiac output, induces splanchnic vasodilation, and causes a 30-50% reduction in hepatic blood flow. This places the cirrhotic liver at additional risk for decompensation.

Various other Causes such as Hepatorenal syndrome can cause kidney Failure due to the Hepatic disease. Encephalopathy can even worsen the condition as NH3 leaked in the Circulation if reached the brain can lead to deleterious Effects on the body of the patient

Patients may even suffer hypoxia and hypoxemia due to the Oxygen Deficiency as a result of which the Oxygen Saturation curve is shifted to The Right side this can Effect patient as It will offer resistance in the patient's Recovery.

Nightingale answered 2 years ago

Nursing Diagnoses, Goals and Outcomes, Interventions, Evaluation: of liver cirrhosis patient

nursing diagnosis, goals ,interventions and evaluation for liver cirrhosis patient in a table form

A patient with portal hypertension secondary to chronic liver cirrhosis was admitted in the surgical ward....

A patient with portal hypertension secondary to chronic liver cirrhosis was admitted in the surgical ward. The patient presented with emaciated body build, distended abdomen with prominent veins, and jaundice. The doctor ordered paracentesis and the following laboratory tests prior the procedure: Prothrombin time (PT), Activated Partial Thromboplastin Time (APTT), Total Protein, Albumin-Globulin ratio, AST, ALT. List down two (2) nursing diagnoses and create a hypothetical FDAR for the patient. Why is there a need to check the PT and...

THIRD SPACE EDEMA A patient with portal hypertension secondary to chronic liver cirrhosis was admitted in...

THIRD SPACE EDEMA A patient with portal hypertension secondary to chronic liver cirrhosis was admitted in the surgical ward. The patient presented with emaciated body build, distended abdomen with prominent veins, and jaundice. The doctor ordered paracentesis and the following laboratory tests prior the procedure: Prothrombin time (PT), Activated Partial Thromboplastin Time (APTT), Total Protein, Albumin-Globulin ratio, AST, ALT. List down two (2) nursing diagnoses and create a hypothetical FDAR for the patient. Why is there a need to check...

1- A patient having renal surgery suddenly develops massive hypertension and dies during surgery. An autopsy...

1- A patient having renal surgery suddenly develops massive hypertension and dies during surgery. An autopsy shows the presence of a pheochromocytoma. In your own words, explain how this incident might have happened. 2- Your favorite cousin, who is 20 years old, has just been diagnosed with type 2 diabetes. He is overweight and spends most of his time playing computer games or watching television. As a health professional, what advice will you give him?

1. Why might liver function tests be ordered for an obese patient? 2. What is a...

1. Why might liver function tests be ordered for an obese patient? 2. What is a likely diagnosis for an obese, white, teenage girl who presents with heavy facial hair, acne, irregular menstrual periods, hyperpigmentation of the skin, and hypercortisolism? 3. Which common complication of obesity is suggested if an obese patient presents with polyuria (frequent urination) and polydipsia (excessive thirst)? Explain why frequent urination and excessive thirst are present in a person with this complication. it is a case...

in 1 to 2 paragraphs discuss the medical benefits of robotic surgery for the patient and...

in 1 to 2 paragraphs discuss the medical benefits of robotic surgery for the patient and the surgeon

1..what are the complications that occur in a respirtaory system of a patient diagnose with liver...

1..what are the complications that occur in a respirtaory system of a patient diagnose with liver cirrhosis during anesthesia 2...what should be the nursing intervention to prevent this complications 3...is organ transplantion possible for a patient with liver cirrohosis and explain the reason for your answer 4...whats the nurisng diagnosis and discharge plan foe this patient with liver cirrhosis

what are the OR instruments in major surgery and its use

1. Liver metabolism during prolonged fasting. A) What happens when your glucose stored as liver glycogen...

1. Liver metabolism during prolonged fasting. A) What happens when your glucose stored as liver glycogen is gone. What options does the liver have to provide fuel to the brain? B) During starvation muscle tissue is at first used, but then there is a shift to another fuel source. This saves muscle tissue necessary for life (such as muscles of the diaphragm needed for breathing). What is this alternative fuel source?

Question