Medical Surgical Nursing

Nursing Management

 Assessment and documentation of intake and output, abdominal girth, and daily

weight to assess fluid status. The nurse monitors serum ammonia and

electrolyte levels to assess electrolyte balance, response to therapy, and

indicators of encephalopathy.

 PROMOTING HOME AND COMMUNITY-BASED CARE

 Teaching Patients Self-Care.

 Continuing Care.

IV. ESOPHAGEAL VARICES

 Bleeding or hemorrhage from esophageal varices occurs in approximately one

third of patients with cirrhosis and varices. The mortality rate resulting from the