Liver Biopsy Procedure Indications Nursing Care

Liver Biopsy Procedure Indications Nursing Care Hepatic Surgery Biopsy Procedure is Removal of Small amount Liver Tissue,

Usually, through Needle aspiration, Hepatic Histopathology Tissue collection  an open or closed Procedure on open

Biopsy wedge of the liver is removed for the Study and the remaining Sutured, all information about Hepatic biopsy indications Complications, Procedure,

Site of the Hepatic Biopsy mentioned Below,

Liver Biopsy Procedure Introduction:

The first Liver Aspiration Performed by Elrich in 1983,
The very first percutaneous Hepatic biopsy for analysis and diagnosis purposes was reported in 1923.

Types of Liver Biopsy Procedure

1. Transthoracic and subcostal liver biopsy,
2. Percutaneous liver biopsy,
3. Blind and guided liver biopsies,
4. Plugged liver biopsy,
5. Transvenous (transjugular) Hepatic biopsy,
6. Laparoscopic liver biopsy,

Liver Biopsy Procedure Purpose:-

  • To determine anatomical changes in the liver,
  • To make the correct diagnosis,
  • To assess the severity of the liver disease,
  • Acute hepatitis of unknown etiology,
  • To diagnose infections like tuberculosis.
  • To Examine Microbiology and culture studies,
  • Hemochromatosis from other causes of iron overload,
  • To take a piece of liver tissue to send for histopathological examinations,
  • Hepatic Tissue Histopathology Test is often useful in the diagnosis and management of patients with alcohol-related liver diseases,
Contra-Indications:-
  • Bacterial cholangitis,
  • Extrahepatic biliary obstruction,
  • Abnormal coagulation Disorders,
  • Thrombocytopaenia,
Equipment:-
  • A sterile tray contains,
  • Syringes 5ml to give anesthesia,
  • Sponge holding forceps,
  • Cheatle forceps,
  • Hepatic biopsy needle with a stiletto,
  • Types of biopsy needles,
  • Tru-cut,
  • Menghini needles,
  • Dissecting forceps
  • Aspiration syringe,
  • A fenestrated towel,

Sterile dressing set,

  • A clean tray contains:
  • Mackintosh and towel,
  • Spirit, Savlon, Betadine,
  • Xylocaine 2%
  • Kidney tray and paper bag,
  • Specimen bottles,
  • Adhesive plaster and scissors,
  • Formalin 10% to preserve the specimen,

Preparation of the patient:-

  • Explain procedure to the patient,
  • Shave if required, the procedure site,
  • Check blood lab tests for Hb%, prothrombin time, bleeding time, clotting time, platelet count,
  • Demonstrate to the patient to stop breathing on command, allow him to practice,
  • Administer the inj. vitamin-k 10 mg to the  patient for 7 to 10 days before the biopsy as for order,
  • Send for the blood grouping Test, Cross-matching,
  • Arrange two bottles of blood to overcome an emergency,
  • The patient keeps fasting for  6 to 8 hours before the procedure,
  • Get written consent from the patient for the procedure,

 Biopsy Procedure:-

  • Informed consent,
  • Explain procedure to the patient,
  • Provide privacy to the patient,
  • Check the physician’s orders,
  • Check the vitals,
  • Dress the patient in a hospital gown,
  • Collect all equipment near to the patient bedside,
  • Administer medications as prescribed by the physician,
  • Keep the patient in the supine position,
  • Drape the patient expose the right side of the patient upper abdomen (Right hypochondriac region) only site of the puncture,
  • The nurse should be encouraging him to maintain desired, the position of Patient,
  • instructs the patient to breathe deeply and  several times finally hold his breath at the end of the expiration
  • Instruct the patient to resume normal breathing,
  • Immediately after biopsy, place a sterile pad over the biopsy site,
  • Send specimen to the histopathology examination,
  • Check the vitals every 15 mins for 6 hours,
  • Watch for complications,
  • Pallor, Abdominal pain, Vomiting,Sweating,
Fore More details:- Click for biopsy Video tutorial,
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