Patient with hepatorenal syndrome — nursing care in liver transplantation

Abstract

Hepatorenal syndrome (HRS) occurs in 5–15% of patients with symptoms of advanced liver failure. Pathophysiological feature is the sharp contraction of renal vessels. There are two types of HRS. Type I occurs with rapid progression of renal function and poor prognosis, type II develops slowly and is characterized by a better prognosis. HRS treatment is ineffective due to the lack of causal treatment. The treatment of choice is liver transplantation (LTx). The majority of patients after a successful transplant is a return normalization of kidney function. The nurse as a member of an interdisciplinary team prepares the recipient for surgery and exercise care in the postoperative period. Liver transplant recipients with HRS require multidisciplinary care (nephrology, surgery, transplantation, anesthesia).