Clinical Reasoning Case Study paper Introduction Clinical re
Clinical Reasoning Case Study paper Introduction Clinical reasoning… Clinical Reasoning Case Study paper IntroductionClinical reasoning is defined as a process in which a clinician or nurse gathers and processes information and signs about a patient, develops a clear understanding of the issue or problem the patient is facing, establishes and implements interventions, evaluates the outcomes, and then reflects on and learns from the process ( ). As a result, nurses must ensure that patient information is effectively utilized in order to promote patient-centered care. Mrs. T.K, a woman diagnosed with Acute liver failure, Hepatic encephalopathy, and Hypoxic respiratory failure, will be discussed in this paper, as well as how she is managed in the hospital through proper clinical reasoning. Patient’s Diagnosis/Pathophysiology and Health HistoryMs. T.K. is a 40-50-year-old African American female who was discharged on February 1st after being admitted for chronic pancreatitis flare and alcohol hepatitis. She was given steroids and was told to come back in a week for a checkup. Unfortunately, when she returned home not long after, her family realized that she was becoming more disoriented, and they found her going outside to stroll in the cold without any pants on, so they called 911 and she was taken to the emergency department. She was found to be hypoxic, requiring 4 liters of oxygen, afebrile, with a white blood cell count of 18 K/cumm, potassium 2.2 mmol/L, and magnesium 1.4 mmol/L on presentation. An x-ray of the chest revealed bilateral infiltrates. On the 10th of February, she was admitted for additional evaluation, and was found to have a diagnosis of acute liver failure, hepatic encephalopathy, and hypoxic lung failure. Acute liver failure (ALF) is a potentially fatal condition marked by acute and sudden liver cell malfunction, coagulopathy, and hepatic encephalopathy (Urden et al., 2022, p.715). ALF is connected with a 40% death rate and usually arises in patients who have no prior liver illness. It’s marked by a loss of synthetic function manifested as jaundice and coagulopathy, as well as the onset of hepatic encephalopathy. Multiorgan failure (MOF) develops over time, finally leading to death (Dong). Hepatic encephalopathy is thought to be caused by the liver’s failure to metabolize numerous compounds in the blood, and it can be exacerbated by metabolic and electrolyte abnormalities (Urden et al., 2022, p.715). Confusion, difficulty concentrating, and easy agitation are all symptoms of this condition, which affects brain function (harding). Lastly, acute lung failure (ALF) is a clinical condition in which the pulmonary system fails to maintain adequate gas exchange. The most prevalent type of organ failure encountered in the intensive care unit is this one (Urden et al., 2022, p.466). Hypoxemic lung failure occurs when there is insufficient oxygen in the circulation but carbon dioxide levels are near to normal. On February 23rd, I had the pleasure of working with patient T.K. Her admissions chief complaint and diagnosis grabbed my attention, and I began to investigate the clinical reasoning behind the underlying issues. Ms. T.K. has a medical history that includes altered mental status, hypokalemia, chronic pancreatitis aggravated by pancreatic insufficiency and pancreatic pseudocyst, alcoholic hepatitis, alcohol use disorder, hypertension, tobacco smoker, and hepatic encephalopathy, but no prior surgical history. Health Science Science Nursing NURS 474
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