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Title: A pancreatitis patient is admitted with weight loss, nausea, and vomiting. To maintain nutrition, ... Post by: bla32104 on Feb 12, 2018 A pancreatitis patient is admitted with weight loss, nausea, and vomiting. To maintain nutrition, the physician orders parental nutrition to be started.
Knowing that a major side effect of parenteral nutrition is a hyperosmolar hyperglycemic state, the nurse should assess the patient for which clinical manifestation (listed below)? A) Dry lips, excess urine output, and seizures B) Facial tics, shuffling gait, and stiff joints C) Fever, chills, and elevated BP of 170/101 D) Irritability, bradycardia, and wheezing noted on inspiration Title: A pancreatitis patient is admitted with weight loss, nausea, and vomiting. To maintain nutrition, ... Post by: traviswa on Feb 12, 2018 Ans:
A Feedback: Hyperosmolar hyperglycemic state is characterized by high blood glucose (>600 mg/dL), dehydration (dry lips), depression of sensorium, hemiparesis, seizures, and coma, and also weakness, polyuria, and excessive thirst. HHS may occur in various conditions, including type 2 diabetes, acute pancreatitis, severe infection, MI, and treatment with oral or parenteral nutrition solutions. |