Care Plan for Liver Failure

Question 1

Outcome for respiratory rate

Answer 1

12-20 breaths per minute and unlabored

Question 2

Outcome for Sa02

Answer 2

> 95%

Question 3

Outcome for ABGs

Answer 3

PaO2 >80
PaCO2 35-45

Question 4

Subjective outcome

Answer 4

Pt will report the ability to breathe comfortably

Question 5

Objective outcomes

Answer 5

No use of accessory muscles
No signs of hypoxia

Question 6

List of tasks when assisting with paracentesis

Answer 6

Document amount, color, and consistency of pleural fluid
Send specimen to lab
Use ostomy bag to collect further drainage

Question 7

Type of diuretics that would be administered (in general)

Answer 7

Potassium sparing or would give a potassium supplement

Question 8

How often should lung sounds be auscultated?

Answer 8

Q4hr

Question 9

How to measure abdominal girth

Answer 9

On exhalation
Q4hr
Prior and post paracentesis

Question 10

When should ABGs be reported?

Answer 10

PO2 <80
PCO2 >45

Question 11

Why is albumin ordered?

Answer 11

To draw fluid into vascular system (if ordered)

Question 12

What should PTT be?

Answer 12

< 35 sec

Question 13

What should PT be?

Answer 13

< 10 sec

Question 14

What should HCT be?

Answer 14

> 25%

Question 15

what should HGB be?

Answer 15

> 10 gm