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HEPATIC COMA -

  • one of the most serious complication of liver disease
  • manifestation of liver failure due to failure of liver cells to detoxify ammonia
Early Signs and Symptoms:
  • slightly confused
  • far away look in his eyes
  • drowsy during the day
  • wander at night
  • disoriented with time and date
  • if progresses - lapses with frank coma
Complication:
  • gastrointestinal bleeding
  • enteric infection
  • fluid and electrolyte imbalance
  • hyponatremia - sodium deficit
  • hypokalemia- potassium deficit


NURSING CARE:
  • close observation of neurologic status and record
  • accurate record of fluid intake and output
  • monitor and record vital signs and blood pressure
  • symptoms of pulmonary infection to be reported
Treatment as per doctor's order:
  • protein intake reduced or eliminated
  • antibiotic
  • sedatives
  • analgesics

Reference: medal nursing book and my nursing notes

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