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.
Per the patient’s husband, she developed nausea/vomiting with body aches 3-4 days ago. She “felt like she had the flu” and was taking Tylenol for the body aches.
Labs from the outside hospital are significant for:
WBC 12.8 Gl 86 Tbili 20.4
HGB 9.5 BUN 14 AST 946
HCT 28.3 Cr 0.83 ALT 1110
PLT 73 Na 149 ALP 142
PT 34.6 Cl 112 Lactic acid 12.4
INR 3.6 CO2 13 Ammonia 281
Patient’s mental status quickly deteriorated, and she was intubated for airway protection and is being transferred to your facility for higher level care.
Respond to each of the questions below and support your answer with two or three peer-reviewed resources.
What are the differentials for acute liver failure?
What potential risk factors does this patient have for liver failure?
What are the diagnostic criteria for acute liver failure?
What are your priorities in the medical management of acute liver failure?
What is involved in the pretransplant work-up for liver transplant?
Why do you want to avoid transfusions in a potential transplant candidate?
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more