Author Question: Which of the following interventions would you expect in the management of hepatic failure? (Select ... (Read 44 times)

fbq8i · **on:** Jun 25, 2018

Which of the following interventions would you expect in the management of hepatic failure? (Select all that apply.)

a. Benzodiazepines for agitation
b. Pulse oximetry and serial arterial blood gas measurements
c. Insulin drip for hyperglycemia and hyperkalemia
d. Monitor electrolyte blood levels
e. Assess for signs of cerebral edema

Question 2

A patient is admitted to the unit with extreme fatigue, vomiting, and headache

This patient has type 1 diabetes but has been on an insulin pump for 6 months. He states, I know it could not be my diabetes because my pump gives me 24-hour control. The nurse's best response would be

a. You know a lot about your pump, and you are correct.
b. You're right. This is probably a virus.
c. We'll get an abdominal CT and see if your pancreas is inflamed.
d. We'll check your serum blood glucose and ketones.

nguyenhoanhat · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B, D, E
The patient may experience a variety of other complications, including cerebral edema, cardiac dysrhythmias, acute respiratory failure, sepsis, and acute kidney injury. Cerebral edema and increased intracranial pressure develop as a result of breakdown of the bloodbrain barrier and astrocyte swelling. Circulatory failure that mimics sepsis is common in acute liver failure and may exacerbate low cerebral perfusion pressure. Hypoxemia, acidosis, electrolyte imbalances, and cerebral edema can precipitate the development of cardiac dysrhythmias. Acute respiratory failure, progressing to acute respiratory distress syndrome, intrapulmonary shunting, ventilationperfusio n mismatch, sepsis, and aspiration may be attributed to the universal arterial hypoxemia.

Answer to Question 2

D
Subcutaneous insulin pumps can malfunction. It is critical to assess glucose and ketone levels to evaluate for diabetic ketoacidosis.