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Showing posts from October, 2025

LIVER FAILURE AND PARACENTESIS / POTENTIAL PROBLEMS/ CARE PLANNING

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  Paracentesis In the image above , a patient is being examined by his doctor. He has an enlarged abdomen due to liver  failure. He is also experiencing shortness of breath . The patient in  liver   failure, may experience difficulty breathing. This is caused by an accumulation of peritoneal fluid in the abdominal   cavity. Paracentesis is done to remove excess fluid and make  breathing easier. The Care Plan would reflect the potential problems associated with this condition. This would include: - Respiratory problems related to ascites. -  Skin breakdown  related to  anasarca . - M ental confusion  related to liver toxins. -Decrease in  urinary output  related to liver failure. Learn more about : P otential problems and   Care planning and The Digestive System Here are some diagnostic tests that are done frequently. Follow the links below: 1.  Chest X ray 2.  CAT scan 3.  EKG 4.  MRI scan 5....

CARDIOGENIC SHOCK AND CRITICAL THINKING

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Scenario : Mrs. R is a 48 year-old female who has a history of a previous  myocardial infarction . She was admitted 2 days  ago with mild chest pain. She was resting comfortably when she suddenly started feeling short of breath. She is  anxious   and calls the nurse. What actions did the nurse take? -The nurse reassures Mrs. R. She does an assessment , vital signs , and  oxygen saturation.  She gives  oxygen  per protocol. -The nurse notifies the doctor of what has occurred and her assessment findings. She also mentions the vital signs, low oxygen saturation, and steps that were taken to correct the saturation. The doctor gives further orders, including a transfer to  CCU. Why  chest pain  assessment? It must be remembered that a patient with heart damage  will also experience chest pain.  Assessment  of the pain should also be included. This may be sharp, with radiation  to the shoulder/jaw, or it may feel like ...