Quiz me Nurse

The patient with cirrhosis of the liver Scenario: Mr.X was admitted to the hospital with a diagnosis of liver failure. He is awake, but lethargic. His abdomen is distended ( ascites) and his foley catheter has low urinary output, which is tea colored. He is short of breath and the doctor has ordered oxygen via nasal cannula. Mr.X's ammonia level  is high due to liver failure. Lactulose ( po) has been ordered by the doctor. The patient in liver failure may develop hepatic encephalopathy. This results in altered mental status and possible coma. This may be an indication for ICP  monitoring.                       THE LIVER The liver is the largest organ in the body. It lies in the right, upper quadrant  of the abdomen. It's functions include: - detoxifies harmful substances and stores glycogen, vitamins and minerals - metabolizes protein and carbohydrates - produces and excretes bile which is used to emulsify fats, tu...

                                                                                                                 Indications for IV Therapy or blood transfusion                                                          There are numerous reasons a patient may require IV therapy.   Examples             1) The patient who was involved in a trauma , in the field and unable to take fluids                             fluids by mouth.      ...

Myocardial infarction A heart attack is the layman's term for a (MI) myocardial infarction.     It is caused by  a lack of blood supply to the heart muscle. A blood clot  or plaque, may obstruct the flow of blood. This typically occurs in the    patient with CAD (   coronary artery disease) .  Symptoms include:                           chest pain which may radiate to the shoulder and jaw, pressure or                                                                      tightness in the chest, anxiety, nausea, vomiting and shortness of breath.                                              ...

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                       Chest pain assessment Chest pain is a very common complaint . It may occur anywhere and anytime, even at rest. It may be related to stress or actual damage to the heart. A patient having a heart attack , may very readily complain of chest pain. Helpful hints : If the patient in your care is complaining of chest pain,   immediate action should be taken to assess the pain. Chest pain may be sharp, severe and stabbing. It may also feel like pressure in the chest or  Like a pair of hands squeezing the chest.  It is important to do a pain assessment on a scale of 1-10 and document results. It is also of note to ask the patient to describe the character  and duration of the pain. Always remember to document all interventions. Follow your Institution's policies, procedures and MD orders for chest pain. Do you know your heart Simple EKG interpretation: The EKG (Electrocardiogram) is a noninv...