Question

Please complete these questions after reviewing the powerpoint. These questions are due by Noon on Saturday.

-Why is pain assessment more challenging in critically ill patients?

-Which team members would the nurse consult to assist with the nutritional support of critically ill patients?

-What actions and treatments can reverse AKI at the initiation phase?

-When would hematochezia occur secondary to upper GI bleeding?

-Why are bowel sounds often hyperactive in GI bleeding?

Answer 1

1. Pain assessment is challenging in critically ill patients because these patients cannot communicate effectively. Also as msot of them are on one or the other analgesics , it is wuite hard to elicit pain in critically ill. Also more efficient equipments are needed.

2. A dietitian and a speech therapist

3. AKI can be reversed by

1. Correcting the volume overload: furosemide
2. Treat hyperkalemia: Using potassium-binding resin. Promoting intracellular shifts in potassium with insulin, detrose solutions, and beta agonists.Also decrease the intake of potassium
3. Avoid nephrotoxic drugs
4. Use of vasodilators and dialysis.

4. In case of heavy upper GI bleeding hematochezia occurs.

5. Because of increased peristalsis causing diarrhea with blood results in hyperactive bowel sounds