liver abscess.pptx nursing ppt 3rd years

liver abscess.pptx nursing ppt 3rd year

1. LIVER ABSCESS Presented by: Maqsooda sttar Lecturer, snc RN, RM, Post RN BSN Dip in paediatric health n ursing

2. OBJECTIVES Define liver abscess Describe risk factors & etiology of liver abscess Discuss pathophysiology of liver abscess Explain clinical manifestations of liver abscess Enlist complications of liver abscess Diagnostic evaluation of liver abscess Enumerate medical management & nursing management of liver abscess

3. DEFINITION A liver abscess is defined as a pus-filled mass in the liver that can develop from injury to the liver or from an intra-abdominal infection disseminated from the portal vein.

4. RISK FACTORS Diabetes. Liver cirrhosis. Immunocompromised state. Male sex. Older 70 year

5. ETIOLOGY A liver abscess can develop from several different sources, including a blood infection , an abdominal infection, or an abdominal injury which has been become infected. The most common infecting bacteria include E coli, enterococcus, staphylococcus, and streptococcus.

6. CLINICAL MENIFESTATION Chest pain (lower right)
Pain in the right upper abdomen (more common) or throughout the abdomen (less common)
Clay-colored stools.
Dark urine.
Fever, chills, night sweats.
Loss of appetite.
Nausea, vomiting.
Unintentional weight loss

7. COMPLICATIONS Empyema ( pus accumulation in the chest )
Endocarditis (inflammation of the heart lining and heart valves)
Liver failure.
Pleural effusion (accumulation of fluid around the lungs)
Sepsis (life-threatening blood infection)
Spread of infection

8. DIAGNOSIS CBC LFTs Blood culture may be positive in up to 60% of patients Utrasonography CT scan Examination of material obtained by needle aspiration Using USG guidance is usually diagnostic and differentiates pyogenic and amebic abscesses.

9. MEDICAL MANAGEMENT When detected in time, liver abscess is usually treatable and often can be cured with a course of antibiotics or a combination of antibiotics and a surgical procedure to drain the abscess. Metronidazole is drug of choice. A third generation cephalosporin can be considered in elderly or if renal function is impaired.

10. NURSING MANAGEMENT Pain management : alleviation or reduction in pain Nutrition management: assisting with or providing a balanced dietary intake of food and fluids Infection Protection: Prevention and early detection of infection in patient at risk

11. ASSESSMENT Subjective Data Patient verbalized abdominal pain, malaise ,nausea Objective Data Temp : 100F° BP: 90/60mmHg Resp : 25pm P.R: 100 beats/min pallor Abdominal distension irritability vomiting

12. DIAGNOSIS Imbalance nutrition: less than body requirements related to inability to ingest or digest food or absorb nutrients as evidence by nausea and vomiting. NPO status and nasogastric suctioning.

13. PLANNING After 6 hours of nursing interventions patient will demonstrate stabilized fluid volume and decreased abdominal pain. Patient will demonstrate behaviors, lifestyle changes to regain and/ or maintain appropriate weight.

14. EVALUATION Fluid volume is maintained and patient verbalized decreased abdominal pain. Goals are achieved.