Posts

Showing posts from March, 2025

HEPATIC ENCEPHALOPATHY - QUIZ QUESTIONS

Image
The Clinical setting step by step is no longer available. Liver failure may be acute or chronic. Causes include: certain drugs, alcohol abuse and certain chemicals . Hepatic Encephalopathy Hepatic Encephalopathy is a complication of liver failure. The damaged liver loses       the ability to remove ammonia and other toxic waste.These products build up in the           blood and can migrate to the brain, resulting in encephalopathy. Patients may become       confused , lethargic and even comatose.  Typically, Lactulose is ordered by the doctor,     to remove excess ammonia. ICP monitoring is sometimes done for the patient with  hepatic encephalopathy.                                                                      ...

THE NURSE'S CRITICAL THINKING/ PRECEPTOR ROLE

Image
  The critical thinking of a new nurse can be a challenge in the clinical setting . Knowing how to put the pieces of the puzzle  together can make this challenge easy. Here are some helpful hints: - Gather relevant information about history, diagnosis and treatment for the patients you are assigned to. - Familiarize yourself with the plan of care . - Delegate responsibilities to other staff members, if you are in charge. - Know your unit's policies and procedures. - Assess patient / family needs for social services. - Familiarize yourself with the medications the patient is receiving / its uses and side effects - If a blood transfusion is ordered, follow your Institution's policies and procedures for transfusion.    Helpful information for the clinical nurse     In the image above, Lynn is a new graduate who    is full of expectation. She arrives early on her new .  unit. But her hopes are shattered when her preceptor   suggested that...