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Nutritional support

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Nutritional support

Critically ill patients lack the ability to self-report pain. As such, the assessment of pain by nurses proves challenging, mainly because of the altered or varying levels of consciousness among critically ill patients (Sole, Klein, Moseley, and Ccns, 2020). These patients also use sedation alongside mechanical ventilation, aspects that challenge a nurse’s ability to conduct pain assessment.

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

The nutritional support concerning a critically ill patient will necessitate the involvement or consultation of several team members. A dietician or a nutritionist is consulted to conduct a nutritional assessment and provide recommendations to the nurse (Urden, Stacy, and Lough, 2010). A pharmacist is consulted regarding total parenteral nutrition (TPN), whereby a patient’s nutritional requirements are wholly supplied to the patient through PN formulations. A language pathologist is consulted to evaluate the patient’s swallowing capabilities besides ascertaining whether the patient tolerates oral feedings.

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

Actions such as patient assessment for early and rapid detection using urine output, blood pressure, labs, hemodynamic monitoring, vitals, and fluid volume status may reverse AKI at the initiation phase (Sole, Klein, Moseley, and Ccns, 2020). Fluids should also be replaced promptly, along with the treatment of shock to avert AKI.

-When would hematochezia occur secondary to upper GI bleeding?

Massive bleeding with loss that exceeds 1000ml results in the occurrence of hematochezia secondary to upper GI bleeding (Urden, Stacy, and Lough, 2010).

-Why are bowel sounds often hyperactive in GI bleeding?

Hyperactivity in bowel sounds is triggered by active bleeding that is quickly passed through the GI tract

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