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Hepatic Abscess: Clinical Concept Map

The clinical concept map summarizes key information about hepatic abscesses including that they are commonly caused by Bacteroides fragilis and other anaerobic bacteria. Signs and symptoms include fever, abdominal pain, chills, anorexia, and weight loss. Nursing interventions involve assessing the patient's ability to eat as well as administering antibiotics like metronidazole, ampicillin, or gentamicin depending on culture results, with treatment typically lasting 6-16 weeks.

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209 views

Hepatic Abscess: Clinical Concept Map

The clinical concept map summarizes key information about hepatic abscesses including that they are commonly caused by Bacteroides fragilis and other anaerobic bacteria. Signs and symptoms include fever, abdominal pain, chills, anorexia, and weight loss. Nursing interventions involve assessing the patient's ability to eat as well as administering antibiotics like metronidazole, ampicillin, or gentamicin depending on culture results, with treatment typically lasting 6-16 weeks.

Uploaded by

Keep smile
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Clinical Concept Map

Lab Finding Sign & Symptoms Causes


USG Fever Bacteroides fragilis (most
common)
MRI Abdominal pain
Others: Fusobacterium spp.,
RFT Chills
anaerobic Streptococci,
CHEST X-RAYS Anorexia Clostridium spp., Actinomyces
spp.
CT SCAN Weight loss
Perforated pepic ulcer
Nausea, Vomiting
.

Nursing Intervention Nursing Diagnosis


Determine the client’s ability to Risk for infection
chew, swallow and taste food.
Acute pain.
Discuss eating habits, including
food preferences,
intolerance/aversions
Hepatic Extreme discomfort

Evaluate total daily food intake


abscess

Pathophysiology Medication Treatment


Occurs when Metronidazole 750mg orally/i.v. 3 Ampicillin
bacteria/protozoa daily x 4 days
Metronidazole
destroy hepatic tissue,
If response, continue for 10 days;
produces a cavity which Gentamicin
followed by luminal agents:
fills up with infective
organisms, liquefied Specific antibiotics (Depending
Iodoquinol 650mg 3 X 20 days
cells & leucocytes. on cultures)
Necrotic tissue then Paramomycin 500mg 3 X 10 day
6-16 weeks
falls off the cavity from
rest of the liver.

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