肝衰竭與消化道出血病患之護理,案例1:,李先生47歲,有肝硬化病史(Livercirrhosis),今日李先生意識混亂(confusion)及嗜睡,無法走路,由妻子送入ER求診,診斷:Livercirrhosishepaticencephalopathy急診:V/S:BT36.5、Bloodpressure136/68mmhg、pulse98bpm、呼吸次數18bpm、pulseoxygenationSaturation98%(roomair)。,意識:清醒、對人清楚,講話慢,外觀疲倦身體檢查:Abdomem:distented(脹)、BowelSound:hypoactive;無震顫性撲動(flappingtremor或asterixis)檢查:Abdominalultrasound(腹部超音波):fattyinfiltrationofLiver；anenlargedspleen,apolypingallbladder,moderateascites(腹水),生化檢查:CBC,WBC4.8103/uL；RBC2.94106/uL；Platelet89x103/UL；Hb9.8
