Nursing Care Plan for Liver Abscess

Nursing Care Plan for Liver Abscess Welcome to Nursing Diagnosis, this time I will give information about the world, namely the Nursing Care Plan for Liver Abscess. I will present information about the Nursing Care Plan for Liver Abscess
.

Nursing Care Plan for Liver Abscess

Anatomy and Physiology of the Liver

The liver is the largest gland in the body, the average weight of 1,500 grams. 2 % of normal weight adults. The liver has two lobes that left and right. Each lobe of the liver is divided into structures called lobules, which is a microscopy unit and functional organ. The human liver has a maximum of 100,000 lobules. Between plates of liver cells are capillaries called sinusoids. Sinusoid limited by phagocytic cells and Kupffer cells. Kupffer cell function is to engulf bacteria and other foreign substances in the blood. (Sylvia a. Price, 2006).

The liver has two sources of blood supply , of the gastrointestinal tract and spleen through the hepatic portal vein and from the aorta through hepatic artery. About one-third of the incoming blood is arterial blood and two-thirds is the portal venous blood. The total volume of blood passing through the liver every minute was 1,500 ml. (Sylvia a. Price, 2006).

The liver is the largest and most important metabolic organ in the body. These organs perform a variety of functions, include the following :

1. Processing metabolic major nutrients (carbohydrates, fats, proteins) after absorption is the digestive tract.
2. Detoxification or degradation of residual substances and hormones as well as drugs and other foreign compounds.
3. Synthesis of plasma proteins, including proteins that are essential for blood clotting, as well as to transport thyroid hormones, steroids and cholesterol in the blood.
4. Deviations of glycogen, fat, iron, copper, and many vitamins.
5. The activation of vitamin D.
6. Spending bacteria from the red blood cells are worn out due to the resident macrophages.
7. Excretion of cholesterol and bilirubin (Sherwood, 2001)

Definition of Liver Abscess

Liver abscess is a form of infection in the liver caused by a bacterial infection, parasites , fungi and sterile necrosis originating from the gastrointestinal tract characterized by the process of suppuration with the formation of pus in the liver parenchyma (Aru W Sudoyo, 2006).

An abscess is a collection of pus fluid thick, yellowish caused by bacterial, protozoal or fungal invasion into the tissues of the body. Abscesses may occur in the skin, gums, bones, and organs such as the liver, lungs, and even the brain, an area that occurred abscess red and puffy, there is usually a sensation of pain and local heat (Microsoft Encarta Reference Library, 2004).



Causes

Liver abscess is generally divided into two, namely ; amebic liver abscess and pyogenic liver abscess.

a. Amebic liver abscess
Obtained several species of amoeba that can live as a non-pathogenic parasite in the mouth and intestines, but only Entamoeba histolytica that can cause disease. Only some individuals infected with Entamoeba histolytica, which gives the symptoms of invasive, so it is thought there are two types of E. histolytica, namely ; pathogenic and non- pathogenic strain. Variations in the virulence of these strains differ based on its ability to cause lesions in the liver (Aru W Sudoyo , 2006).

E.histolytica in the stool can be found in two forms: vegetative or trophozoite and cyst forms that can survive outside the human body. Mature cyst size 10-20 microns, resistant to dry and acidic atmosphere. Forms tropozoit will die in dry atmosphere and acid. Large trophozoite very active, capable of consuming erythrocytes , which contains protease ; hyaluronidase and mucopolysaccharidase capable of resulting in tissue destruction.

b Pyogenic liver abscess
The infection is mainly caused by gram- negative bacteria and the most common cause is E. coli . Moreover, the cause is Streptococcus faecalis also, Proteus vulgaris, and Salmonellla Typhi. Can also anaerobic bacteria such as Bacteroides, aero bacteria, actinomicosis, and anaerobic streptococci . Necessary for the finding of blood culture, pus, bile, and swabs in anaerobic or aerobic (Aru W Sudoyo, 2006).



Signs and Symptoms

Initial complaint : fever / chills, abdominal pain, anorexia / malaise, nausea / vomiting, weight loss, night sweat, diarrhea, fever (temperature greater than 38°), hepatomegaly, right upper quadrant tenderness, jaundice, ascites, and sepsis the cause of death. (Cameron 1997)

An abscess is the last stage of a tissue infection that begins with a process called inflammation.
Initially, such as bacteria activate the immune system, several events occur :

1. Blood flow to the area increases.
2. The temperature of the area increases due to the increased blood supply.
3. The area swells due to the accumulation of water, blood, and other fluids.
4. It turns red.
5. It hurts, because of irritation from the swelling and the chemical activity.
6. The four signs ; heat, swelling, redness, and pain - the characteristics of inflammation.

Diagnostic Examination

According to Julius, the science of diseases in Volume I, (1998). Investigations among others ;
1. Laboratory
To determine the hematologic abnormalities include hemoglobin, leukocytes, and liver function examination.
2. chest x-ray
Can be found in the form of the right diaphragm, decreased movement of the diaphragm, pleural effusion, lung collapse and lung abscess.
3. Plain abdominal X-ray
Abnormalities may include hepatomegaly, ileus picture, picture of free air above the liver.
4. Ultrasonography
Detecting abnormalities of biliary tract and diaphragm.
5. Tomography
See abnormalities in the posterior and superior , but can not see the integrity of the diaphragm.
6. Serology
Shows a high sensitivity to germs.



Nursing Diagnosis for Liver Abscess

According Doenges, EM (2000), nursing diagnoses of patients with liver abscess include:

1. Breathing pattern, ineffective related to Neuromuscular, imbalance perceptual / cognitive.
2. Disturbed Sensory Perception : the process of thought related to chemical changes : the use of pharmaceutical drugs.
3. Fluid Volume Deficit, Risk for oral fluid intake restriction (process / medical procedure / nausea).
4. Pain (acute) related to disorders of the skin, tissue, and muscle integrity.
5. Impaired Skin Integrity related to the interrupt mechanism of the skin / tissue.
6. Risk for infection related to an operating wounds and invasive procedures.
7. Disturbed Sleep Pattern related to the disease process, the effects of hospitalization, changes in the environment.
8. Knowledge deficit (learning need) regarding condition / situation, prognosis, treatment needs.

Thank you for reading our Nursing Care Plan for Liver Abscess article. Hopefully you can benefit from here. And here are a few articles that you may also find:

nursing diagnosis, nursing diagnosis for hypertension, nursing diagnosis for pneumonia, nursing diagnosis for copd, nursing diagnosis for pain, nursing diagnosis for depression, nursing diagnosis for diabetes, nursing diagnosis for anemia, nursing diagnosis handbook, nursing diagnosis for anxiety, nursing diagnosis list, nursing diagnosis anxiety, nursing diagnosis acute pain, nursing diagnosis application to clinical practice, nursing diagnosis and interventions, nursing diagnosis anemia, nursing diagnosis activity intolerance, nursing diagnosis asthma, nursing diagnosis altered mental status, nursing diagnosis and intervention for nephrotic syndrome, nursing diagnosis acute renal failure, nursing diagnosis book, nursing diagnosis book pdf, nursing diagnosis body image, nursing diagnosis bleeding, nursing diagnosis bowel obstruction, nursing diagnosis bipolar, nursing diagnosis by nanda, nursing diagnosis breast cancer, nursing diagnosis back pain, nursing diagnosis bowel incontinence, nursing diagnosis constipation, nursing diagnosis copd, nursing diagnosis cellulitis, nursing diagnosis chf, nursing diagnosis chronic pain, nursing diagnosis chest pain, nursing diagnosis cholecystectomy, nursing diagnosis concept map, nursing diagnosis cva, nursing diagnosis coronary artery disease, nursing diagnosis definition, nursing diagnosis diabetes, nursing diagnosis depression, nursing diagnosis dehydration, nursing diagnosis decreased cardiac output, nursing diagnosis dementia, nursing diagnosis diarrhea, nursing diagnosis dvt, nursing diagnosis deficient knowledge, nursing diagnosis diverticulitis, nursing diagnosis examples, nursing diagnosis electrolyte imbalance, nursing diagnosis edema, nursing diagnosis examples for pain, nursing diagnosis education, nursing diagnosis evaluation, nursing diagnosis epilepsy, nursing diagnosis emphysema, nursing diagnosis esrd, nursing diagnosis etiology, nursing diagnosis for fever, nursing diagnosis for uti, nursing diagnosis gi bleed, nursing diagnosis generator, nursing diagnosis gerd, nursing diagnosis goals, nursing diagnosis grieving, nursing diagnosis gout, nursing diagnosis guidelines, nursing diagnosis glomerulonephritis, nursing diagnosis guillain barre syndrome, nursing diagnosis guidebook, nursing diagnosis handbook pdf, nursing diagnosis hypertension, nursing diagnosis handbook 11th edition, nursing diagnosis handbook 10th edition pdf, nursing diagnosis hypoglycemia, nursing diagnosis head injury, nursing diagnosis hopelessness, nursing diagnosis hypotension, nursing diagnosis hyperglycemia, nursing diagnosis infection, nursing diagnosis impaired gas exchange, nursing diagnosis ineffective coping, nursing diagnosis impaired mobility, nursing diagnosis impaired skin integrity, nursing diagnosis ineffective tissue perfusion, nursing diagnosis immobility, nursing diagnosis impaired comfort, nursing diagnosis insomnia, nursing diagnosis impaired urinary elimination, nursing diagnosis journal, nursing diagnosis jaundice newborn, nursing diagnosis jokes, nursing diagnosis joint pain, nursing diagnosis juvenile diabetes, nursing diagnosis joint replacement, nursing diagnosis jaundice tests, nursing diagnosis juvenile rheumatoid arthritis, nursing diagnosis jehovah witnesses, nursing diagnosis junctional dysrhythmias, nursing diagnosis knowledge deficit, nursing diagnosis kidney failure, nursing diagnosis knowledge deficit related to medication, nursing diagnosis knowledge deficit diabetes, nursing diagnosis knowledge deficit related to diabetes, nursing diagnosis knee replacement, nursing diagnosis kidney transplant, nursing diagnosis knowledge deficit related to pregnancy, nursing diagnosis knee pain, nursing diagnosis knowledge deficit related to smoking, nursing diagnosis list 2015, nursing diagnosis labor and delivery, nursing diagnosis lung cancer, nursing diagnosis list for postpartum hemorrhage, nursing diagnosis low hemoglobin, nursing diagnosis list 2016, nursing diagnosis lupus, nursing diagnosis leukemia, nursing diagnosis loneliness, nursing diagnosis manual, nursing diagnosis malnutrition, nursing diagnosis meningitis, nursing diagnosis meaning, nursing diagnosis mental health, nursing diagnosis metabolic acidosis, nursing diagnosis manual 4th edition, nursing diagnosis mobility, nursing diagnosis mi, nursing diagnosis mrsa, nursing diagnosis nanda, nursing diagnosis nutrition, nursing diagnosis newborn, nursing diagnosis nausea, nursing diagnosis noncompliance, nursing diagnosis nanda 2016, nursing diagnosis nephrotic syndrome, nursing diagnosis nclex questions, nursing diagnosis nutrition imbalance, nursing diagnosis neutropenia, nursing diagnosis of hypertension, nursing diagnosis of pneumonia, nursing diagnosis of fever, nursing diagnosis of diabetes mellitus, nursing diagnosis of anemia, nursing diagnosis of asthma, nursing diagnosis of meningitis, nursing diagnosis of schizophrenia, nursing diagnosis of fracture, nursing diagnosis of appendicitis, nursing diagnosis pain, nursing diagnosis pneumonia, nursing diagnosis pdf, nursing diagnosis postpartum, nursing diagnosis pocket guide, nursing diagnosis powerlessness, nursing diagnosis pressure ulcer, nursing diagnosis pancreatitis, nursing diagnosis post op, nursing diagnosis psychosis, nursing diagnosis quizlet, nursing diagnosis questions, nursing diagnosis questions quizlet, nursing diagnosis quizzes, nursing diagnosis quadriplegic, nursing diagnosis quotes, nursing diagnosis quit smoking, nursing diagnosis quality of life, nursing diagnosis questions and answers, nursing diagnosis qualifiers, nursing diagnosis risk for infection, nursing diagnosis risk for falls, nursing diagnosis related to, nursing diagnosis related to hypertension, nursing diagnosis related to pain, nursing diagnosis related to diabetes, nursing diagnosis related to anemia, nursing diagnosis reference manual, nursing diagnosis risk for, nursing diagnosis risk for injury, nursing diagnosis thrombocytopenia, nursing diagnosis template, nursing diagnosis threatened abortion, nursing diagnosis tachycardia, nursing diagnosis taxonomy, nursing diagnosis tia, nursing diagnosis tissue perfusion, nursing diagnosis teaching, nursing diagnosis types, nursing diagnosis tetralogy of fallot, nursing diagnosis uti, nursing diagnosis urinary incontinence, nursing diagnosis urinary retention, nursing diagnosis upper respiratory infection, nursing diagnosis uk, nursing diagnosis upper gi bleed, nursing diagnosis ulcer, nursing diagnosis unilateral neglect, nursing diagnosis urinary, nursing diagnosis uti sepsis, nursing diagnosis vs medical diagnosis, nursing diagnosis vomiting, nursing diagnosis ventilator, nursing diagnosis vision impairment, nursing diagnosis vomiting nausea, nursing diagnosis vertigo, nursing diagnosis vsd, nursing diagnosis ventricular tachycardia, nursing diagnosis vascular dementia, nursing diagnosis weakness, nursing diagnosis with interventions, nursing diagnosis wound, nursing diagnosis weight loss, nursing diagnosis website, nursing diagnosis wound infection, nursing diagnosis wellness, nursing diagnosis worksheet, nursing diagnosis wording, nursing diagnosis with lactation, nursing diagnosis for xanax, nursing diagnosis for xerosis, nursing diagnosis for xerostomia, nursing diagnosis for x ray, nursing diagnosis for fragile x syndrome, nursing diagnosis for chest x ray, nursing diagnosis yeast infection, nursing diagnosis youtube, nursing diagnosis young mother, nursing diagnosis for young adults, nursing diagnosis for yellow fever, nursing diagnosis for youth, nursing diagnosis for 2 year old, nursing diagnosis for 3 year old, nursing diagnosis for 6 year old, nursing diagnosis for homeless youth, nursing diagnosis for zenker's diverticulum, nursing diagnosis for zyprexa, nursing diagnosis herpes zoster, nursing diagnosis for zofran, nursing diagnosis for zoloft, nursing diagnosis for herpes zoster ophthalmicus, nursing diagnosis for low 02 sat, nursing diagnosis 14th edition, nursing diagnosis 11th edition, nursing diagnosis 10th edition, nursing diagnosis 14th edition pdf, nursing diagnosis 14th edition carpenito, nursing diagnosis 13th edition, nursing diagnosis 13th edition carpenito, nursing diagnosis 12th edition, nursing diagnosis 13, nursing diagnosis 10th, nursing diagnosis 2016, nursing diagnosis 2015, nursing diagnosis 2014, nursing diagnosis 2017, nursing diagnosis 2014 pdf, nursing diagnosis 2013, nursing diagnosis 2012, nursing diagnosis 2 part statement, nursing diagnosis 2010, nursing diagnosis 2 part, nursing diagnosis 3 part example, nursing diagnosis 3 part statement, nursing diagnosis manual 3rd edition, nursing diagnosis for 3rd degree heart block, nursing diagnosis for 3rd degree burn, nursing diagnosis for 3rd stage of labor, nursing diagnosis for 3rd degree av block, nursing diagnosis for 3 month old, nursing diagnosis for stage 3 pressure ulcer, nursing diagnosis 4 hypertension, nursing diagnosis 4e, nursing diagnosis care plan 4e, nursing diagnosis care plan 4th edition, nursing diagnosis for 4 year old, nursing diagnosis for 4th stage of labor, nursing diagnosis stage 4 pressure ulcer, nursing diagnosis for 4th degree laceration, nursing diagnosis for 4 month old, nursing diagnosis 5, nursing diagnosis for 5 year old, nursing diagnosis for 5 month old, nursing diagnosis handbook 5th edition, nursing diagnosis care plans 5th edition, nursing diagnosis reference manual 5th edition, nursing diagnosis for ckd stage 5, 5 nursing diagnosis for copd, 5 nursing diagnosis for anemia, 5 nursing diagnosis for diabetes, nursing diagnosis handbook 6th edition, nursing diagnosis for 6 month old, nursing diagnosis reference manual 6th edition, nursing diagnosis 7th edition, nursing diagnosis handbook 7th edition, nursing diagnosis reference manual 7th edition, ackley nursing diagnosis handbook 7th edition, nursing diagnoses 8th edition, nursing diagnosis handbook 8th edition, nursing diagnosis handbook 8th edition ackley ladwig, ackley nursing diagnosis 8th edition, nursing diagnosis reference manual 8th edition, nursing diagnosis reference manual sparks 8th edition, nursing diagnosis 9th edition, nursing diagnosis handbook 9th edition apa citation, nursing diagnosis handbook 9th edition pdf, nursing diagnosis handbook 9th edition ackley, nursing diagnosis icd-9 codes, nursing diagnosis handbook 9th edition mosby, nursing diagnosis handbook 9th edition ebook, nursing diagnosis handbook 9th edition publisher, nursing diagnosis handbook 9th edition wilkinson, nursing diagnosis handbook 9th edition apa