Liver Cirrhosis

  1. Anatomy and physiology of the liver.



  1. Definition of "cirrhosis."



  1. Factors that may increase the risk of cirrhosis.



  1. Signs and symptoms of cirrhosis.


  1. Jaundice.

  2. Swelling of abdomen

  3. Weight loss.

  4. Fatigue.

  5. Confusion.


  1. Measures that prevent or control cirrhosis.


  1. Abstain from all alcohol (refer to alcohol treatment program or Alcoholics Anonymous).

  2. Avoid over-the-counter drugs.

  3. Plan regular rest period to decrease demands of the body and to increase supply to the liver.

  4. Provide adequate skin care.

  1. Prevent trauma to skin with frequent position changes, pressure relief devices, etc.

  2. Follow good hygiene measures.

  3. Keep fingernails short to prevent irritation from scratching.

    1. Weigh daily for early detection of fluid retention.

    2. Promote adequate nutrition.

  1. Eat small, frequent meals high in calories and carbohydrates.

  2. Take vitamin supplements.

  3. Avoid foods high in ammonia and amines, such as cheese, salmon, and lima beans.

  4. Avoid sodium. (Provide "Restrict Sodium" handout.)

    1. Avoid contact with people who are ill, to avoid infections.

    2. Report signs of bleeding and minimize possibility of trauma. (Avoid forceful nose blowing, avoid straining at stool, use soft toothbrush, etc.)

    3. (For care giver only) Assess mental status and orient client as needed. (Provide "Reality Orientation" handout.)

    4. Report to physician changes such as increased edema, fever, rapid weight loss, bleeding of any kind, or change in mental status.

    5. Take medication as prescribed.


  1. Possible complications of cirrhosis.


  1. Esophageal varices (dilated veins in the foodtube).

  2. Bleeding from varices.

  3. Hemorrhage due to impaired coagulation.

  4. Encephalopathy (dysfunction of the brain, which may progress from slight confusion to coma).

  5. Renal failure.

  6. Ascites (fluid accumulation in the abdomen).