NRN202 Clinical Preparation

Pathophysiology Concept Mapping

Define: Nursing Assessment:

Hepatocellular carcinoma (HCC) is a Assess for encephalopathy, measure and document abd
primary malignancy of the hepatocyte, girth and weight, document I/O. if pt has transhepatic
generally leading to death within 6-20 catheter, irrigate frequently, If on Chemo, assess for N/V,
months. Hepatocellular carcinoma anemia, thrombocytopenia, neutropenia, and hair loss.
frequently arises in the setting of cirrhosis,
appearing 20-30 years following the initial
insult to the liver. However, 25% of patients
have no history or risk factors for the
development of cirrhosis Medical Diagnosis:

Hepatic
Carcinoma
S & S: Medications:
epigastric or right upper quadrant (RUQ)
pain, followed by fatigue, anorexia, weight Systemic chemotherapy , anti-neoplastic and
loss, weakness, or fever as his disease immunosuppressant agents
progresses. He may have jaundice or
dependent edema or peripheral edema if
liver dysfunction and malnutrition cause low
plasma albumin levels. Jaundice may
cause itching. Plasma albumin levels.
Jaundice may cause itching.

Lab Tests: Causes/Risk Factors:

Cirrhosis, HPB virus, HPC virus, Hemochromatosis
blood tests, CT scanning and/MRI of the Occurs more commonly in men than women, median age is 65
abdomen, CXR, Biopsy

Nursing Considerations/
Patient Teaching:

Encourage the patient and his family to voice their concerns.

Discuss treatments and possible adverse effects. Explain the
importance of eliminating alcohol and restricting salt, fluids, and
protein. Teach the patient relaxation techniques to make him
more comfortable and ease anxiety, and refer him and his
family to support groups, outpatient-care services, or hospice
care.

Concept Map NRN202