{"id":95007,"date":"2022-09-13T06:58:14","date_gmt":"2022-09-13T06:58:14","guid":{"rendered":"https:\/\/assignmenttutors.net\/blog\/you-are-the-critical-care-nurse-practitioner-covering-the-icu-at-a\/"},"modified":"2022-09-13T06:58:14","modified_gmt":"2022-09-13T06:58:14","slug":"you-are-the-critical-care-nurse-practitioner-covering-the-icu-at-a","status":"publish","type":"post","link":"https:\/\/assignmenttutors.net\/blog\/you-are-the-critical-care-nurse-practitioner-covering-the-icu-at-a\/","title":{"rendered":"You are the critical care nurse practitioner covering the icu at a"},"content":{"rendered":"<div>\n<p>\u00a0<\/p>\n<p>You are the critical care nurse practitioner covering the ICU at a busy teaching hospital. You are called to accept a transfer from an outside hospital. The patient is a 35-year-old native American female who lives on the Navaho Reservation. Prior medical history includes obesity, T2DM, and ETOH use\/abuse. Patient presented to outside hospital complaining of RUQ abdominal pain, nausea\/vomiting, jaundice, and confusion.<\/p>\n<p>Per the patient&#8217;s husband, she developed nausea\/vomiting with body aches 3-4 days ago. She &#8220;felt like she had the flu&#8221; and was taking Tylenol for the body aches.<\/p>\n<p>Labs from the outside hospital are significant for:<\/p>\n<ul>\n<li>WBC 12.8 Gl 86 Tbili 20.4<\/li>\n<li>HGB 9.5 BUN 14 AST 946<\/li>\n<li>HCT 28.3 Cr 0.83 ALT 1110<\/li>\n<li>PLT 73 Na 149 ALP 142<\/li>\n<li>K 4.7<\/li>\n<li>PT 34.6 Cl 112 Lactic acid 12.4<\/li>\n<li>INR 3.6 CO2 13 Ammonia 281<\/li>\n<\/ul>\n<p>Patient&#8217;s mental status quickly deteriorated, and she was intubated for airway protection and is being transferred to your facility for higher level care.<\/p>\n<p>Respond to each of the questions below and support your answer with two or three peer-reviewed resources.<\/p>\n<ol>\n<li>What are the differentials for acute liver failure?<\/li>\n<li>What potential risk factors does this patient have for liver failure?<\/li>\n<li>What are the diagnostic criteria for acute liver failure?<\/li>\n<li>What are your priorities in the medical management of acute liver failure?<\/li>\n<li>What is involved in the pretransplant work-up for liver transplant?<\/li>\n<li>Why do you want to avoid transfusions in a potential transplant candidate?<\/li>\n<\/ol>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 You are the critical care nurse practitioner covering the ICU at a busy teaching hospital. You are called to accept a transfer from an outside hospital. The patient is a 35-year-old native American female who lives on the Navaho Reservation. Prior medical history includes obesity, T2DM, and ETOH use\/abuse. Patient presented to outside hospital [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-95007","post","type-post","status-publish","format-standard","hentry","category-education"],"_links":{"self":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/posts\/95007","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/comments?post=95007"}],"version-history":[{"count":0,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/posts\/95007\/revisions"}],"wp:attachment":[{"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/media?parent=95007"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/categories?post=95007"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/assignmenttutors.net\/blog\/wp-json\/wp\/v2\/tags?post=95007"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}