Describe the pathophysiology of cirrhosis

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Questions

1. Briefly describe the pathophysiology of cirrhosis and its incidence in the United States.

2. Currently, no specific medications are prescribed to treat cirrhosis. However, there are medications that treat the client's symptoms and complications. Complete the table below:

Medication  Action Nursing  Considerations Adverse Effects

Octreotide

Propranolol

Lactulose

Rifaximin

Pantoprazole

Furosemide

Spironolactone

Desmopressin

Read the scenario below and answer the following questions.

Mr. Little is a 54-year-old client with a history of alcohol use disorder, for 30 years. He also has a history of atrial fibrillation and gastroesophageal reflux disease. He smokes 1-2 packs of cigarettes daily. He was admitted to the hospital yesterday afternoon with abdominal pain. The nurse assesses Mr. Little and documents that he has pale skin with a slight yellowish tint. His abdomen is round, full, and distended. He has 3+ pitting edema in lower extremities, bilaterally. He states his abdominal pain is "6" on pain scale of 0-10.

3. Based on the above information, what would his vital signs be and why?

Vital Sign Rationale
T
P
R
BP
O2 sat

4. Mr. Little undergoes an ultrasound which confirms that he has abdominal ascites. He is scheduled for a paracentesis.

5. What is the procedure for a client undergoing paracentesis and what is the nurse's role?

6. What signs or symptoms could Mr. Little develop that would indicate a complication?

7. If Mr. Little developed any of the complications listed in # 6, what would be the nursing intervention and what orders would the nurse expect to be given?

Reference no: EM133845743

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