Nursing Care of a Patient Undergoing Transjugular Intrahepatic Portosystemic Shunt Placement in the Radiology Department

• TPS is a radiological intervention for the management of esophageal varices.
• The nursing care provided to the patient presented according to the NANDA Classification System.
• Radiology nursing maintains an essential role in evaluating the clinical course of the patient before.

Esophageal varices occur in a significant proportion of patients who develop portal hypertension secondary to liver cirrhosis. Rupture of these varices can cause significant life-threatening hemorrhage. Several therapeutic options are available for the management of portal hypertension and thus the prevention of variceal bleeding. This article presents a patient case study that discusses the nursing care of a patient undergoing a transjugular intrahepatic portosystemic shunt (TIPS) procedure in a specialized radiology department in the Republic of Ireland. The pathophysiology of esophageal varices is presented. A brief overview of therapeutic management techniques for esophageal varices is then presented followed by an introduction to the TIPS procedure including indications and contraindications. The patient case is then presented, highlighting the selection criteria.