NSG 210 Test 3 Study Guide

For ppl not previously vaccinated an im injection of

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: if pt is comatose. It has a laxative effect b/c it draws ammonia out of the body via feces. Other laxatives should not be given during lactulose therapy. B/c of it’s laxative effect, pt’s on lactulose should have 2 ­3 BM’s/day. If watery diarrhea is present, this may indicate a medication overdose Pt’s on Lactulose should be monitored for cramps, bloating, hypokalemia, & dehydration. Pt’s serum ammonia level should also be monitored daily Broad spectrum antibiotics such as neomycin sulfate (Mycifradin) & rifaximin (Xifaxan) may be given to reduce levels of ammonia ­forming bacteria in the colon. Xifaxan seems to be the safest for long ­term tx. IV administration of glucose may be administered to minimize protein breakdown Administration of vitamins & electrolytes (esp. K) to correct deficiencies/imbalances Interventions: in addition to nutrition & drug therapy tx listed above Ax neurologic status frequently. Mental status is monitored by keeping a daily record of handwriting & arithmetic performance Ax I&O’s & body weight daily; VS taken q4h Serum ammonia level & electrolyte status is monitored daily Enteral feeding may be provided for pt’s whose PSE state persists Pt’s w/ PSE have a greater risk of respiratory problems b/c of the depressed neurological status. Encourage deep breathing & frequent position changes Patient teaching should include: discontinuation of sedatives, tranquilizers & analgesic meds, maintenance of prescribed diet & how to monitor s/s of PSE. Pt’s should be cautioned that constipation precipitates PSE & should be prevented through the use of lactulose. Use of vegetable protein instead of animal protein may be indicated in pts whose total daily protein tolerance is less than 1g/kg HEPATITIS  ­Incl...
View Full Document

{[ snackBarMessage ]}

Ask a homework question - tutors are online