Liver Resection: A Case Study

As the Directors at the Sharp Rees Medical Facility, we will be talking about the liver. The liver is a very important organ in the human body as it does not just perform one function but is involved in multiple tasks. Some interesting facts about the liver; it weighs under five pounds, it has a shape like a half football and everyone is born with one. Just like most other disease or disorder, if the liver has not been taken care of properly there are many negative outcomes that can affect and destroy the liver. There are many complications when the liver is abused or damage for example cancer, hemochromatosis, gallbladder or

On 01/27/2016, I observed about 22 patients in Postanesthesia Care Unit. Some of the patients were observed after surgeries while others were observed after endoscopy. During my shift, I observed patients awaiting recovery for removal of kidney stones, malignant melanoma (removal of moles), Endometrial Biopsy (EBX), superficial femoral artery (SFA), Hernia repair, Oophorectomy (ovary removal surgery), Cardiorrhaphy (Ventricular repair), Cystolithalopaxy (bladder stone removal), gall stone removal, Ectopic pregnancy surgery, and leg surgery.

The appropriate assessment of patients prior to surgery to identify coexisting medical problems and to plan peri-operative care is of increasing importance. The goals of peri-operative assessment are to identify important medical issues in order to optimise their treatment, inform the patient of the risks associated with surgery, and ensure care is provided in an appropriate environment secondly to identify important social issues which may have a bearing on the planned procedure and the recovery period and to familiarise the patient with the planned procedure and the hospital processes.(American Society of Anaesthesiologists)

In his article, Are Alcoholics Less Deserving of Liver Transplantations, Daniel Brudney explores the morality of placing alcoholics with liver damage (caused by alcohol) lower on the donor list. The idea Brudney pushes is that by promulgating the health risks of alcohol consumption there will be less people with liver damage in need of a donor. His position holds alcoholics culpable and deserving of the consequences to follow, assuming information of possible outcomes due to excessive drinking have been provided and understood. This may be true if the information is repetitively communicated to people in their early teen years, however, providing crucial information to the public does not change the power of temptation and addiction towards alcohol.

General Chemistry/ Liver function tests (LFTs): Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), Alkaline phosphatase (ALP), Total

Decompensated cirrhosis is characterized by the development of a cirrhosis-related complication, including variceal hemorrhage, ascites, spontaneous bacterial peritonitis, hepatorenal syndrome, and/or coagulopathies. For patients with compensated and decompensated cirrhosis, the risk of death is 4.7 and 9.7 times higher than the general population, respectively.4 Survival in patients with decompensated cirrhosis is considerably lower than that of patients with compensated cirrhosis. The median survival times are as low as 2 years in decompensated patients and greater than 12 years in compensated

According to the American Liver Foundation, a healthy liver cleans blood, fights infection processes food and stores energy. The liver is able to regenerate itself, but when it becomes too damaged or is prevented from regenerating, it will fail and no longer be able to keep able to keep one alive (2015). Despite its ability to regenerate, chronic liver disease and cirrhosis is the twelfth leading cause of death of death in the United States. My interest in further exploring liver related deaths is the due to the impact that liver disease has had on my family. My young cousin was born with a malignant tumor on her liver and spent the first several years of her life undergoing surgeries and chemotherapy. She survived the treatment and at the age of 4 was free of cancer. At the age of 24 she was told that her liver was beginning the process of failure and she would need to be put on the transplant liver for long-term survival. My grandmother died of cirrhosis of the liver and my father, after 3 years of treatment for melanoma, was diagnosed with liver failure. He had a procedure to prolong the useful life of his liver, but the damage to his liver will not allow his liver to regenerate and it will likely be liver failure which leads to his death.

a. -in both hepatic functions are not functioning well hence requires calculation adjustments of drugs to suit the patient needs

4. Is it possible to know the percentage of liver cirrhosis? In other words is the organ completely affected and it's not functioning?

In the presented case scenario, we have Mr. Gil Martin who is a 55-year-old Hispanic male. He comes in to the clinic today with complaints of weakness, fatigue, and loss of appetite. A student nurse will be precepting your assessment of Mr. Martin and when collecting subjective and objective data it is important to pay close detail to all findings. Ultimately this patient was diagnosis with cirrhosis, which is an abnormal liver condition that leads to irreversible scarring of the liver (National Institute of Health [NIH], 2017), so during assessment we should pay attention to details leading to this diagnosis.

The reason of weight loss like nine kilos is attributed to his lack of appetite (Du, Pan, & Li, 2010). Liver damage has intense and disturbing effects on metabolism of all nutrients like malnutrition which is common among with patients with cirrhosis that also affects major impairment in their social, occupational functioning and behavioral and psychological changes (National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2005).

8.Liver Function Test: To assess the liver enzyme level especially ALT( hepatic transaminase)level due to side effects of statin therapy.

Premise 3: There is no evidence that proves that alcoholics have a lower success rate after a liver transplant. Many alcoholics learn from their experience as well and do not continue to damage their new liver with excessive

Liver is a superfood and a better option than any other red meat.Its rich in protein and low in fat therefore it will significantly boost micronutrient availability to promote recovery of various physiological functions vital for

The Liver is the body's largest gland, weighing about three to four pounds. It is located beneath the diaphragm in the right upper quadrant (RUQ) of the abdominal cavity. Without the liver, our bodies would be poisoned and unfit for us to do anything at all. It is a metabolically active organ responsible for many vital life functions. The primary functions of the liver are: Bile productions and excretion. Excretion of bilirubin, cholesterol, hormones, and drugs. Metabolism of fats, proteins, and carbohydrates. Enzyme activation. Storage of glycogen, vitamins, and minerals. Synthesis of plasma proteins, such as albumin, and clotting factors. And blood detoxification and purification.