Liver abscess patient care

Liver infectious diseases are extensive, and mainly related to surgery are liver abscesses. Common bacterial hepatic abscess and amoebic liver abscess can cause different degrees of fever and hepatomegaly and right upper quadrant tenderness. Bacterial liver abscess is more common. In addition, there are some special infections such as tuberculous liver abscess, fungal liver abscess and parasitic liver abscess, etc., which are rare. The discovery and treatment of existing and potential problems such as chills, hyperthermia, and hepatic pain in patients with liver abscess, and the provision of corresponding physiological, psychological and social care can effectively improve their life treatment and prognosis.

Liver abscess patient care

Nursing measures

1.Psychological care
After the patient is admitted to the hospital, due to lack of awareness of the disease and changes in the environment, a series of psychological reactions such as tension and fear often arise. Therefore, the nursing staff should take the initiative to contact with the patient and introduce the patient with relevant knowledge of the disease, such as the characteristics of the disease and the situation after the illness, and give patient psychological counseling according to the psychological state of the patient, thereby eliminating the psychological and anxiety of the patient and establishing it. Confidence in overcoming the disease and actively cooperate with treatment.


2. Chills, high fever care
When the liver abscess occurs, the bacteria are interrupted into the blood, causing bacteremia, causing symptoms such as chills and high fever, and understanding the laws of chills. When you have fever, you should follow the doctor's prescription to cool down the drug, such as compound aminopyrine intramuscular injection, supplemented by physical cooling, including ice pack cold, alcohol rubbing bath. During the cooling process, observe the patient's reaction. Keep the skin clean and dry after cooling, and replace the wet clothes and sheets in time.

3. Medication care
During the treatment of liver abscess, it is necessary to give combined and sufficient and long-term broad-spectrum antibiotic treatment according to the number and size of the patient's abscess and the presumed possible sensitive antibiotics. During the medication, it is necessary to ensure timely, and strictly according to the time of the doctor's advice, while paying attention to the adverse reactions of the drug.

4. Liver puncture preoperative care

• Perform preoperative examination and preoperative preparation on the patient according to the doctor's advice.
• Explain to the patient the precautions for the puncture.
• Preoperative sputum evacuation of the bladder.

5. Liver puncture after nursing

• Postoperative patients should be absolutely bedridden for 24 hours.
• Close monitoring of the patient's vital signs If the patient has blood pressure drop, pulse acceleration, cold sweat, pale, should immediately notify the doctor for rescue.
• Disinfection Puncture the skin, and regularly change the dressing to observe whether the wound dressing has oozing and exudation.
• If the puncture site is severely painful, an analgesic can be given according to the doctor's advice.
• If the amebic liver abscess is suspected, the extracted pus or discharged feces should be promptly sent for inspection.
• Complications of complications Common complications of liver abscess include hepatic hemorrhage, gallbladder or bile duct injury, colon or kidney injury, secondary infection of the peritoneum or pleura. The patient's condition should be closely observed. The patient should stay in bed during the onset of the disease, and should not be active. Coughing, defecation can not be used too much force, protect the liver area, avoid collision, prevent abscess rupture. In the event of a complication, the doctor should be notified immediately.
• Drainage tube care Properly fix the drainage tube to prevent the tube from coming out. Keep the drainage of each drainage tube and press it regularly. Observe and record the color, nature, and amount of the drainage fluid.
• Nutritional support care After 1 to 3 days of fasting water, during the fasting period, follow the doctor's advice to give intravenous nutrition support. After the intestinal function is restored, the fluid diet is gradually transitioned to a normal diet. Can eat high protein, high calorie, high vitamin, easy to digest, low fat diet.

Health education

• Instruct patients to maintain a good mood, pay attention to rest, work and rest.
• Reasonable diet, develop good habits, and pay attention to lose weight when overweight.
• Follow the doctor's regular outpatient review, and if there is any abnormality, see a doctor immediately.