Nursing diagnosis for hepatic insufficiency
Apr 12, 2023
Source: Cainiu Health
Dr. Jiang Weimin
Introduction
Nursing diagnoses for hepatic insufficiency generally include fluid volume overload, neuromuscular symptoms such as lethargy, confusion, and decreased cognitive function, as follows: Hepatic insufficiency refers to the impaired ability of hepatocytes to properly perform essential liver physiological functions due to liver damage or disease, thereby affecting normal metabolism and homeostasis in the body.
Nursing diagnoses for hepatic insufficiency generally include fluid volume overload, neuromuscular symptoms, confusion, and cognitive decline, as detailed below:
1. Fluid Volume Overload
Hepatic insufficiency refers to impaired basic liver physiological functions due to liver damage or disease, leading to hepatocytes' inability to function properly, thereby affecting normal metabolism and homeostasis in the body. Nursing assessments for hepatic insufficiency may reveal weight gain, dyspnea, and other signs. Nursing interventions should include monitoring fluid intake and output and documenting fluid balance.
2. Neuromuscular Symptoms
Symptoms may include decreased urinary output, dry mouth, and dehydration. Nursing measures should focus on promoting nutritional intake, enhancing gastrointestinal function, maintaining fluid balance, and managing neuromuscular complications.
3. Confusion and Cognitive Decline
Manifestations may include prolonged responses to questions, poor concentration, and disorientation. Nursing interventions should include providing visual or auditory stimulation and maintaining a comfortable environment.
In addition, hepatic encephalopathy should also be considered. In daily diet, patients should consume light and easily digestible foods, and increase intake of high-fiber foods.
