Sample interview questions: Can you discuss your understanding of caring for patients with acute liver failure in the ICU?
Sample answer:
- Assessment:
- Conduct a thorough history and physical examination to determine the cause of ALF and assess signs of hepatic encephalopathy, coagulopathy, and renal failure.
- Monitor vital signs, oxygen saturation, and urine output closely.
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Obtain laboratory studies including liver function tests, PT/INR, bilirubin, ammonia, and renal function tests.
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Supportive Care:
- Maintain a patent airway and provide oxygen therapy as needed.
- Initiate IV fluids and vasopressors to maintain hemodynamic stability.
- Administer antibiotics for suspected or confirmed infections.
- Manage electrolyte imbalances and acid-base disturbances.
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Prevent and treat complications such as sepsis, renal failure, and pulmonary edema.
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Specific Therapies:
- Administer N-acetylcysteine (NAC) for acetaminophen-induced ALF.
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Consider liver transplantation for patients with irreversible ALF or those who do not respond to medical management.
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Nursing Interventions:
- Monitor for signs of hepatic encephalopathy and provide appropriate nursing care.
- Implement seizure precautions and administer anticonvulsants i… Read full answer
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