Liver transplant
Who writes the tacrolimus order
liver transplant team
What is the appropriate size range for an enteral feeding tube in a 18month - 6 year
8-12 Fr
How will you assess perfusion of a transplanted bowel
assess stoma site
What drug is frequently used in attempted overdose that can lead to liver failure
tylenol
Encephalopathy associated with decreased liver function is primarily related to:
a - increased ICP
b - hyperproteinemia
c- sepsis
d - circulating hepatotoxins
A - increased ICP
What time is the tacrolimus level drawn
06am
What type of nasal tube is used for decompression
salem sump
When does acute rejections normally occure
5-7 days post transplant
What are three signs/symptoms of liver failure in your pediatric patient?
Jaundice
Ascites
Pruritus
Malnutrition
Neurological changes
Ecchymosis
Coagulopathy
one of the earliest signs and symptoms of portal hypertension is:
a- splenomegaly
b-split S2 heart sound
c - Ascities
D - melena
A - splenomegaly
What are elevated ammonia levels treated with pre-transplant
lactulose
What is the correct pH reading to verify stomach placement of an enteral feeding tube
pH 1-4
Name 3 signs of acute rejection
elevated LFTs
elevated WBCs
pale stoma
mental status change
fever
This physical measurement should be taken every shift and PRN to help identify worsening symptoms.
The critical care nurse identifies all of the following as risk factors associated with NEC except:
a- central venous line
b - umbilical venous line
c - hypoxia
d- respiratory distress syndrome
a - central venous line
Who can manipulate the NG tube in a post liver transplant pt
liver surgery
Why can't the bedside RN put in an NJ tube
it requires using the stylet and RNs are not allowed to insert tubes with stylets
Approximately how long will a pt s/p small bowel transplant remain NPO
1 week
What three measures/medications can assist in you relieving your patients pruritis?
Benedryl
Atarax
Aveeno bath
If your OG/NG is being used SOLEY for these 2 things you don't need a x-ray
suction or decompression
What is PGE used for
to enhance liver and renal perfusion
How often does tubing need to be changed when feeding breast milk
Q4 hours
These 2 labs must be sent Q12hours after starting J tube feeds
reducing substance and occult blood
In pediatrics how often should NG tubes with continuous feeds be flushed
Q4 hours