You are the critical care nurse practitioner covering the ICU at a busy teaching hospital. You are called to accept a transfer from an outside hospital. The patient is a 35-year-old native American female who lives on the Navaho Reservation. Prior medical history includes obesity, T2DM, and ETOH use/abuse. Patient presented to outside hospital complaining of RUQ abdominal pain, nausea/vomiting, jaundice, and confusion.
Per the patient’s husband, she developed nausea/vomiting with body aches 3-4 days ago. She “felt like she had the flu” and was taking Tylenol for the body aches.
Labs from the outside hospital are significant for:
Patient’s mental status quickly deteriorated, and she was intubated for airway protection and is being transferred to your facility for higher level care.
Respond to each of the questions below and support your answer with two or three peer-reviewed resources.