Liver impairment – Nursing assessments and considerations

Liver
Source: Pixabay

Liver impairment could be associated with

(1) malaise, which is a sort of physical discomfort such as that caused by mild sickness,

(2) fever,

(3) Nausea and/or vomiting,

(4) Dark urine, light stools – Dark urine is one of the side effects of conjugated estrogens. Dark urine may also appear in bone marrow depression,

(5) Jaundice,

(6) Abdominal pain,

(7) Elevated bilirubin that becomes the cause of yellowish coloration of sclerae and skin,

(8) Elevated AST and ALT – AST is aspartate transaminase and ALT is alanine aminotransferase,

(9) Altered PTT – PTT is partial thromboplastin time – elevated due to absence of vitamin K.

In case of liver impairment, nurses may consider, good skin care (which is a nursing consideration in many cases, such as superinfection and delayed allergic reaction); rest; small, frequent feedings; cool environment, and comfort measures.

Zusammenfassung in deutscher Sprache (Summary in German language)

Eine Leberfunktionsstörung kann mit Unwohlsein, Fieber, Übelkeit, Erbrechen, dunklem Urin, hellem Stuhl, Gelbsucht, Bauchschmerzen, erhöhtem Bilirubin, erhöhtem AST und ALT sowie veränderter PTT verbunden sein.

Krankenschwestern können eine gute Hautpflege, Ruhe, kleine und häufige Fütterungen, eine kühle Umgebung und Komfortmaßnahmen in Betracht ziehen.

Source of Information:

NCLEX-PN Content Review Guide: Preparation for the NCLEX-PN Examination (Kaplan Test Prep) – https://amzn.to/3jXwuZb *

*affiliate link

Usman Zafar Paracha

Usman Zafar Paracha is a sort of entrepreneur. He is the author of "Color Atlas of Statistics", and the owner of an Android game "Faily Rocket."

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