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HEPATIC ENCEPHALOPATHY - QUIZ QUESTIONS

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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

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  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. A nurse's priorities When a nurse's priorities are wrong In the image above, Jenna is a new nurse. She has not fully understood the importance of safe nursing practices. Her desperation to be on time to meet a friend for lunch, took priority over patient saf...

THE CIRCULATORY SYSTEM - QUIZ QUESTIONS

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The Circulatory System is made up of: The heart, lungs, capillaries, arteries, veins  and the lymphatic system.                   The Circulatory System The heart is a pump which supplies blood to all the body's cells. It is made of four chambers. The two upper chambers are the right and left atria. The two lower  chambers are the right and left ventricles.  The heart is a small organ that has a lot of work to do. If the heart fails, all the body's organs like the brain and kidneys as well as the body's tissues will be affected. An overview Deoxygenated  blood returns to the heart via the veins. The blood comes in through the right atrium via the Superior and Inferior vena cava. It is then pumped into the right ventricle.  The deoxygenated blood is pumped to the  lungs  via the Pulmonary Artery. Inside the lungs, the deoxygenated blood  is exchanged for oxygenated blood and is pumped  to l...

COMMUNICATION SKILLS / PATIENT AND FAMILY TEACHING

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A skiing accident and admission to ICU In the image above, a skiing accident has occurred. The injured person  is admitted to the ICU. ICP monitoring has been set up. Family   members have arrived and cannot make sense of what is happening. The staff members have not taken the time to explain what has taken place. When taking care of a patient who has experienced  a  traumatic event, the nurse should explain to the family, what is being done. It may become necessary, to get help from other staff members to help with  communication . Learn more about:  ICP Monitoring   for the layperson Helpful suggestion: The care plan   Patient and family education should always be included in the plan of care. The nurse is responsible for initiating and updating the care plan. 

WELCOME TO A NEW YEAR. ENJOY LEARNING!

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  Dear nurses, Welcome to 2025 nurses! There is always something to learn. Just click on the links below and enjoy learning. Stroke Assessment ICP Monitoring      The Nursing Process

MERRY CHRISTMAS TO ALL

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  Dear nurses, I just want to wish you all a very Merry Christmas. Enjoy my video : Holiday Cheer if you can find the time. Please enjoy the videos: Sessions 38 -  Happy Holiday Learn more about :  Travel  and eating Learn more about:  All things food

CRANIAL NERVES 1 / 2

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Cranial nerve 1 is the Olfactory ( smell). Cranial nerve 2 is the Optic ( vision).   What is hemianopia? Hemianopia is a loss of vision (blindness) in half of the visual  field.   This may occur in one or both eyes. What causes hemianopia? Trauma, tumors, and strokes may cause this condition.