Nurses Compass
Care Plan for Hepatic Encephalopathy Management
Category: Gastrointestinal
Assessment
Patient presents with confusion, altered mental status, and asterixis.
Diagnosis
Risk for falls related to altered mental status and impaired coordination.
Goals
Patient will experience improved mental status and remain free from falls.
Interventions
Administer prescribed medications such as lactulose to reduce ammonia levels. Monitor mental status and ammonia levels regularly. Educate patient and family on the importance of medication adherence and dietary modifications to reduce ammonia production. Implement fall prevention measures and ensure a safe environment.
Rationale
These interventions aim to reduce ammonia levels, improve mental status, and prevent falls.
Evaluation
Patient's mental status and safety will be monitored regularly.