Nursing 3910A/B Lecture Notes - Lecture 9: Liver Function Tests, Blood Alcohol Content, Akinetic Mutism
14 Nov 2017
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Increased cranial pressure (icp: altered level of consciousness (loc, seizures, concussion. Insulin hypoglycemic: alcohol, epilepsy/ electrolyte, overdose drugs, alcohol, uremia kidney failure, trauma, psychiatric, stroke/seizure. Altered level of consciousness: not a disorder, function and symptom of multiple pathophysiologic phenomena, neurologic, abnormal pupillary response, toxicologic, drugs or alcohol, metabolic, hepatic failure, ketoacidosis. Cbc/ lytes: eeg electroencephalography (brain waves, blood work blood glucose, bac blood alcohol content, abgs, ketones, lfts (liver function test), ammonia (liver failure) Loc: changes in the eye opening response, verbal response (inappropriate responses), Is a continuum, manifestations depend on where the ct is on the continuum. Initial changes in loc may be subtle motor response (pronator drift, muscles: eventually pupillary response. 3: what system is at risk, respiratory, integument, bladder, bowels, cardio, vascular, immobility affects every system. Continued: gu retention, gi diarrhea or constipation, sensory stimulation once icp stabilized, fluid balance/nutrition, family support, protect airway, prevent infection, catheter, iv, tube feed, all portals of entry.
