Nursing Case Study: Hepatic Failure

Case Study 1

Hepatic Failure

Dalia O. Smith

Allan Hancock College

Abstract

Cirrhosis of the liver is a chronic degenerative disease characterized by liver fibrosis and decreased hepatic function. Fibrotic tissue, seen in cirrhosis patients, impairs the function of the liver which eventually leads to liver failure. Although cirrhosis is often associated with prolonged alcohol use, exposure to toxic substances can also cause cirrhosis of the liver. Amongst those toxic substances is acetaminophen, and levofloxacin, both commonly used drugs. The level of damage these substances can potentially cause is directly correlated to the level of exposure to such substances. This case study addresses pertinent laboratory values, safety concerns, nursing diagnosis and appropriate nursing interventions.

Case Study 1

HEPATIC FAILURE

Cirrhosis is a chronic progressive disease of the liver “characterized by inflammation

This type of care does not aim for cure, rather its main focus is to keep the patient as comfortable and pain free as it is possible. Usually there is a health care team made up of doctors, nurses and other caregivers. These individuals will administer and oversee the care the patients receive. Palliative care can be given in various settings including the patient’s home, however it is more closely associated with extended care facilities or nursing homes.

Hospice care in the other hand; is generally done in the patient’s home. This type of care provides support and care to patients in the final stages of fatal conditions. Because hospice patients have a life expectancy of six months or less, their treatment is more targeted towards symptom relief rather than a cure. The symptom management regimen allows for the patient and their families to concentrate on the emotional aspect of dying.

Conclusions and Future