Hepatic Encephalopathy

In: Other Topics

Submitted By bird1980
Words 5461
Pages 22
Hepatic Encephalopathy
Raven Dunn, SRN
Augusta Technical College
Adult Nursing II
RNSG 2210
Ms. Kandace Chariff, BSN, MSN
July 23, 2012

Table of Contents
Abstract Page 3
Case Study Etiology and Pathophysiology Page 4 Clinical Manifestations Page 5 Diagnostic Findings Page 7 Treatment and Nursing Interventions Page 7 Patient Presentation Page 8
Conclusion Page 9

References Page 10
Appendix I Page 11
Appendix II Page 11
Appendix III Page 12
Appendix IV Page 13
Appendix V Page 13
Appendix VI Page 16

Abstract
This paper will focus on the clinical manifestations of hepatic encephalopathy and its effects on Mrs. X. She is a 64 year old female who has been an alcoholic for more than 40 years. The constant abuse of alcohol has left her with cirrhosis of the liver. One problem of cirrhosis is the inability of the liver to filter ammonia. When the levels of ammonia build up in the body, it affects various organs and systems. In Mrs. X’s case, it affected her brain. She manifested impaired cognitive abilities as well as physical limitations. This case study will expand on these processes as well as her prognosis and nursing implications.

Hepatic Encephalopathy
Mrs. X is a 64 year old white female and was a functional alcoholic and smoker for more than 40 years. She presented to the E.R. from home with complaints of lethargy, confusion, and decreased mobility. This paper will discuss the clinical manifestations of hepatic encephalopathy and the effects it has had and still do on Mrs. X’s mind, body, and soul. Mosby’s medical dictionary (2007) defines hepatic encephalopathy as:
A neuropsychiatric manifestation of extensive liver…...

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