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This Concept Map, created with IHMC CmapTools, has information related to: liver cancer, liver cancer nursing interventions radiation-site specific. N/V, fatigue, liver cancer nursing interventions POST-OP monitor wound, drains, NG tube, rad & chemo s/e, bowel sounds., liver cancer studies liver scan, CT, MRI, hepatic angiography, ECRP (endoscope into duodenem-small catheter into biliary ducts-pt sedated) Liver biopsy (percutaneous -may use CT to guide), POST-OP monitor wound, drains, NG tube, rad & chemo s/e, bowel sounds. post op complications postprandial hypoglycemia- assoc w/dumping syndrome. 2 hours of eathing, sweating, anxiety, confusion. pancreas secrets insulin, but food has already been dumped, liver cancer collaborative care percutaneous ethanol or acetic acid- outpatient. 6-8 tx over 3-4 weeks. for CA that has not metastasized. s/e pain, intraperitoneal hem, bile duct necrosis, hepatic infarction, and transient hypotension., POST-OP monitor wound, drains, NG tube, rad & chemo s/e, bowel sounds. post op complications perinicious anemia- reductionin WBCs, weakness, fever, neuropathy, pallor. Give b-12, folic acid, iron., liver cancer collaborative care Lobectomy (only poss in 15% of pts), liver cancer collaborative care radiofrequency ablation- thin needle into tumor, heat destroys cells. can be done percutaneous, laproscopically or open. can be done for curative or palliative. complications, infection, bleeding dysrhythmias, & burns, liver cancer collaborative care chemo- 5-fu, leucovoricin. may be systemic or regional. targeted therapy w/ sorafanim (nexavar), liver cancer collaborative care cryoablation- open surgery. not used for metastatic liver ca, liver cancer S/S pain RUQ, hepatomegaly, jaundice, wt. loss, anorexia, n/v, ascites, fatigue, anemia. may have pulmonary emboli, liver cancer collaborative care Liver transplant, liver cancer nursing interventions PRE-OP Increase nutritional intake decompression of stomach, low residue diet-if surgery involves colon, enema,, liver cancer PIE more common as metastasis. primary CA is 4th most common. most common is hepatocellular cancer. 80% of pts have cirrhosis. Hep B & C also., POST-OP monitor wound, drains, NG tube, rad & chemo s/e, bowel sounds. post op complications dumping syndrome- 30 minutes after eating. weakness dizziness, diaphoresis, cramping, borborgymi