Home precautions for patients with chronic severe liver disease

I. Daily monitoring items: 1, weight, in and out of fluid volume: weight loss during diuresis should not exceed 1 kg per day, and not more than 2.5 kg per week. 2, mental and mental status: any irritability, insomnia or excessive sleep time, reversal of sleep time; calculation ability, such as whether the level of computer games has decreased than before, memory of numbers, people and events, etc. 3.Body temperature, pulse, breathing. 4. Stool condition: frequency, whether it is formed, dry, and whether there is black stool. General measures: 1, rest: bed rest, minimize physical activity, such as serious illness (ascites, jaundice, infection, etc.) cancel outdoor activities, until the ascites recede, physical self-awareness significantly improved before appropriate bed activities, but still should be limited to outdoor activities. 2, diet: high calorie (rich in starch, glucose), high protein (eggs, chicken, fish, etc.), high vitamin (can take vitamin C orally), low fat (do not eat fatty meat, fried food, stir-fry with vegetable oil). Low salt and water restriction (need to be strictly enforced because it directly affects the diuretic effect, every 1g of salt is equivalent to 100ml of water increase). Food to liquid, paste, cake, forbidden to eat hard, tough, indigestible food, avoid spicy. 3, prevention of infection: appropriate amount of indoor ventilation, change clothes regularly, reduce contact with outsiders. 4, unless there is a basis for infection, such as fever, nasal congestion, gum redness, cough, coughing, skin scabies, abdominal pain, diarrhea, shortness of breath, urinary urgency, urinary pain, urethral orifice redness, while the blood picture shows an increase in the number of white blood cells, the abuse of antibiotics is strictly prohibited, such as the need to use, limited to amoxicillin, cephalosporins and pioneers, avoid oral, preferably intravenous administration, if necessary to limit the amount of liquid can be injected or static push. Sedative-hypnotic drugs such as Valium are prohibited. 5.Electrolyte disorders and acid-base balance disorders: The types of manifestations are complex and variable, and can be induced by infection, diuresis and appear suddenly, or slowly, and the specific performance lacks specificity, such as weakness of the limbs, numbness of the hands and feet, perioral numbness, pins and needles, irritability, confusion, drowsiness or even coma, nausea, vomiting, slow breathing under calm conditions (<16 times >20 times/min), pulse <60 or >100, or irregular pulse. 100, or irregular pulse should be considered as a possibility. The diuresis period should be reviewed regularly (once every 3-5 days). 3. Cases in which hospitalization is necessary (critical situation, life-threatening at any time): 1. Fever does not improve after three days of antibiotic treatment. 2, the above-mentioned obvious changes in mental and spiritual status. 3.The abdominal fluid does not subside obviously or even increases rapidly with or without abdominal pain. 4, There is vomiting blood or black stool. 5.Electrolyte disturbance with changes in mental status, respiration and heartbeat. 6.Significant respiratory distress, blue lips and mouth. 7. Gradual decrease in urine output.