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Impaired Liver function

Failure to convert

ammonia to urea

Recirculation

of amonnia

Penetration to

blood brainbarrier

NEUROTOXICITY

HEPATIC

ENCEPALOPATHY

Obstruction ofblood flow fromthe hepatic vein

Venousreturn

Cardiac output

Activation of RAAS

Hypertension

Na and fluid

retention

EDEMA

Impaired filteringof hepatocytes

Jaundice

Unable to convertbilirubin

Phagocytosis

Infection

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Fibrosis or Scarring

Impaired Liver function

Obstruction of

blood flow fromthe hepatic vein

PORTAL

HYPERTENSION

Redirection of

blood flow to theesophageal veins

ESOPHAGEALVARICES

Rupture

Bleeding

SHOCK

Unable to

aid in the

maturity ofRBC

ANEMIA

Impaired proteinsynthesis

Globulin

Immunoglobulin

Immunity

Albumin

Hypoalbuminemia

Oncoticpressure

EDEMA/

ASCITES

Weakness

Impaired

glucose

s nthesis

Hypoglycemia

Weakness

Impaired fatsynthesis

Cholesterol

Hormonalimbalance

Absorptionof Fat soluble

vitamins

Vit. K

Clottingfactor

Bleeding

Impaired

bile

roduction