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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Liver Cancer And Heart Failure?

Hi doctor, I'm a student nurse and I've been assigned to a patient who was diagnosed of Hepatoma Right Lobe, Metastasis Lungs Right-sided      Hypertrophy...she also has hepatitis B. she's 88 years old and she was admitted to NOPH, one of the government hospitals in the Philippines. She's comatosed and the last time that I truly had contact with her was on April 16.
I'm just curious...What should be the ideal discharge planning for a patient with liver cancer? I mean, what should be the proper medications, proper activities, treatment, and diet?
Thanks... :)
Fri, 30 Sep 2016
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Gastroenterologist,  's  Response
I'm sorry, but I'm afraid that a patient in her condition would come out of coma, or even if she does, long enough to be significant. There are certain things that help decide management of patients with hepatic cancer. firstly, the size of the tumor, and the no. of tumors in the liver, secondly the child class, and thirdly the functional status of the patient. For a patient who's tumor has metastasized, the treatment options are already limited.

As of the discharge planning, aim for treating the hepatitis B,esp in patients in whom treatment of the cancer is being considered, prevent further episodes of encephalopathy with lactulose or other agents, address the presence of ascites with diuretics if possible. advise adequate caloric intake in the range of 2200-2400 calories, with a limit on proteins from animal sources.Advice adequate activity, possibly physical rehabilitation to improve the functional status.
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What Is The Treatment For Liver Cancer And Heart Failure?

I m sorry, but I m afraid that a patient in her condition would come out of coma, or even if she does, long enough to be significant. There are certain things that help decide management of patients with hepatic cancer. firstly, the size of the tumor, and the no. of tumors in the liver, secondly the child class, and thirdly the functional status of the patient. For a patient who s tumor has metastasized, the treatment options are already limited. As of the discharge planning, aim for treating the hepatitis B,esp in patients in whom treatment of the cancer is being considered, prevent further episodes of encephalopathy with lactulose or other agents, address the presence of ascites with diuretics if possible. advise adequate caloric intake in the range of 2200-2400 calories, with a limit on proteins from animal sources.Advice adequate activity, possibly physical rehabilitation to improve the functional status.