Decreasing Level of consiousness related to accumulation of ammonia.
Manifestation:
Personality changes; flapping tremors is a common sign
Laboratory Darta:
Elevated serum ammonia
Nursing Diagnosis:
Altered though process
Nursing Interventions:
- Monitor level of consciousness
- Maintain low protein diet
Sample Question:Which of the following is a sign of hepatic coma?
A. hand flapping
B. Diaphoresis
C. Progressive weakness
D. Easy fatigability
Answer: (A)