Thiamine. Thiamine, also known as vitamin B1, is a water-soluble
vitamin not stored in the body. It must be consumed in food or in supplement form.
Thiamine is required for normal carbohydrate metabolism and nerve conduction.
Deficiencies lead to the syndromes of beriberi and polyneuritis.
(3) Folate. Folate (folic acid) is a water-soluble vitamin necessary for the
normal production of white and red blood cells. Folate deficiency anemia is the usual
result of insufficient folic acid.
(4) Iron. Although iron is a mineral and not a vitamin, it is included in this
discussion because it is often prescribed along with folic acid to combat anemia in-
patients with cirrhosis.
(5) Vitamin C. The exact mechanisms of vitamin C are not fully understood,
but it has been proven that vitamin C is effective in helping the body to fight infection
and to speed healing.
1-61. NURSING IMPLICATIONS FOR THE PATIENT WITH CIRRHOSIS
a. Assess for Fluid Retention.
Measure abdominal girth daily.
Observe and record accurate intake and output.
Observe for the presence of edema.
Monitor vital signs frequently.
(2) Assess for anxiety, weakness, or abdominal fullness that may indicate
Observe and test stool, urine, and emesis for the presence of blood.
Observe the gums for evidence of bleeding.
Observe the skin for petechiae and bruising.
Provide a safe environment to prevent injuries.