A client has been admitted with a diagnosis of portosystemic encephalopathy secondary to Laennec's cirrhosis. The primary healthcare provider writes prescriptions based on the lab values. The nurse would monitor the effectiveness of medications by observing for what specific neurologic changes in the client?
Exhibit:
Lab Results:
Sodium: 129 meq/dl
Potassium: 3.0 meq/dl
Albumin: 2.0 gm/dl
Ammonia: 80 mcg/dl
Bilirubin: 2.0 gm/dl
BUN: 32 mg/dl
Creatinine: 2.0 mg/dl
BP: 100/60
Pulse: 110
Resp: 28
Medication:
Furosemide (Lasix) 60 mg IV every 12 hours
Lactulose 30 mg by mouth every 4 hours
K-Dur 40 meq by mouth twice daily
Albumin 25% 100 mL IV twice daily
1. Increased urination and improved memory.
2. Increased blood pressure and lower pulse.
3. Frequent diarrhea with orientation x three.
4. Clear speech and +2 pitting edema to BLE.