WEEK_6_N2112_Module_SIX_Acid_Base_Renal__1_

diuretic, ~electrolyte, ~hyper/hypokalemia ~hyper/hyponatremia  List foods choices high in potassium 2. List a few basic nursing interventions required when a client receives either a diuretic or a potassium replacement 3. Describe what milli-equivalents (mEq) denotes 4. Identify common fat and water soluble vitamins and minerals 5. Describe the value of taking iron/calcium and other vitamin supplements and specific patient teaching criteria regarding taking them.

" Risk of fluid volume depreciation as evidenced by nausea, vomiting and decreased fluid ingestion. "   question: What could be the possible nursing interventions and rationale that could be done? (4 rationale and 4 nursing interventions)   Objectives: 1. The patient will relieve pain   2. The patient will be able to maintain fluid volume   3. The patient will have normal stool in 1-3 days   4. The patient will be able to regain and additionally work on his nourishment with assistance of appropriate comprehension of the food options to help his digestion.

RENAL DISORDERS TASK:Create a conceptual map using the case scenarios as guide. Conceptual map should include pathophysiology, medical diagnosis, signs and symptoms, and risk factors, if any. Nursing diagnosis, nursing interventions, medical management (medication and procedures), expected outcomes. A 61- year old male, long standing type 2 diabetic and hypertensive, with end stage renal disease secondary to diabetic nephopathy on maintenance thrice weekly hemodialysis since the last 20- months started developing acute onset of chills, rigors, acute anxiety, vomiting and unexplained abdominal pain about ½- 1 hour into the dialysis session. These episodes which had not occurred earlier, had started from the previous one month and caused acute distress to the patient, necessitating request for early termination of dialysis. The patient denied any complaints home except for severe itching, which has started at approximately at the same time. No new medications had been initiated in the…

RENAL DISORDERS TASK: Create a conceptual map using the case scenarios as guide. Conceptual map should include pathophysiology, medical diagnosis, signs and symptoms, and risk factors, if any. Nursing diagnosis, nursing interventions, medical management (medication and procedures), expected outcomes A 37- year old man with chronic renal failure who was secondary to chronic glomerulonephritis had been on peritoneal dialysis for approximately 6 months without any episode of peritonitis. In December 2019, he was admitted to the hospital for fever, vomiting, abdominal pain, diarrhea, and cloudy dialysate several hours after eating stinky tofu. The peritoneal effluent culture yielded Aeromonas Sobria. The patient was given levofloxacin for 10 days. The patient symptoms such as diarrhea, abdominal pain were relieved and the cloudy effluent turned to be clear. Unfortunately, peritoneal dialysis catheter was blocked because of fibrin clot formation in the setting of inflammation, and finally…

Main nursing diagnosis: Risk of fluid volume depreciation as evidenced by nausea, vomiting and decreased fluid ingestion.   (MAKE A GENERALIZED STATEMENT OF EACH NURSING INTERVENTIONS) 1. EFFICIENCY 2. APPROPRIATENESS 3. ADEQUACY 4. ACCEPTABILITY   Interventions: 1. The nurse will give a quiet and relaxed environment and teach the patient of breathing technique to keep away the stress.  2. The nurse will evaluate the fluid ratio of the patient to make sure the fluid replenishment to adjust the fluid loss during vomiting and decreased fluid intake.  3. The nurse will encourage the client to drink 180 ml of water alongside with prescribed medications.  4. The nurse will have diet plan and ask to pick the diet with the helpof the nutritionist to get information about the food intake that he needs to stop triggering symptoms.  5. The nurse will observe and record the frequency, sum, time, and attributes of stool and for any presence of hastening factors

Signature Assignment: End Stage Kidney Disease Case Analysis The goal of this assignment is to show that you understand the importance of the liver, pancreas, and kidneys in the proper functioning of the human body. Sarah, a 63-year-old female with a past medical history significant for diabetes mellitus, cirrhosis, gout, and a 30-pack a year smoking history, presents to the emergency room with chest pain revealing pericarditis in the echocardiogram, secondary to recently diagnosed end-stage renal disease. Physical examination reveals yellowish discoloration to the skin and sclera, multiple bruises, and 2+ bilateral edema. Sarah reports weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin. Her recent laboratory results are as follows: CBC Sodium 126 mEq/L Glucose 220 mmol/L Calcium 7.1 mg/dl Red blood cell count 3.9 cells / ul…

ASAP Topic: Chronic kidney disease Question: Identify the role of nutrition/eating habit strategies that can help to prevent the condition and how these strategies can be effective

NEED HELP WITH #4  N.R. is a 49-year-old lumber worker admitted to the emergency department after a severe laceration of his left thigh. He lost about 4 units of blood prior to effective control of bleeding and closure of the wound. He received several hundred milliliters of normal saline during the procedure. Postsurgical clinical data are as follows: vital signs lying down, HR 115, BP 98/60, RR 28; sitting, HR 140, BP 92/62, RR 28; Hct 22, Hb 8, PaO2 90, SaO2 98% breathing room air. N.R. continues to have significant oozing from his sutured wound postoperatively, prompting his physician to order a coagulation screen that has the following results: platelet count 250,000, bleeding time more than 10 min, PT and aPTT within normal ranges.   Discussion Questions   In view of N.R.’s history and vital signs, do you think he is hypovolemic? Support your conclusion. Calculate N.R.’s arterial oxygen content (CaO2) using the following formula: CaO2 = (PaO2 × 0.003) + (Hb × SaO2 × 1.34). What…

Assessment Direction: Read the following item carefully. Write TRUE if the statement is correct and FALSE if the statement is incorrect. 1. If you use a household or kitchen spoon to measure liquid medicines, you can be sure you will get the right dose. 2. You can't be harmed by over-the-counter medicines. After all, you can buy them without a doctor's prescription. It's okay to take two medicines with the same active ingredient at the 3. same time. 4. It's alright to use someone else's prescription medicine if you have the same symptoms he or she had when he or she got it. It's also safe to take your leftover prescription medicine later if you get 5. sick again. 6. It's okay to take more medicine than what is directed on the label if you are very sick. medicine, an active ingredient is what relieves a person's The Drug Facts label tells you what symptoms the medicine treats. 8. 7. In a symptoms. 9. 10. The Drug Facts label gives you the dosage information. A pharmacist…

QUESTIONS: Explain what happens to urine flow rate, specific gravity and urinary excretion of chloride in each group. Explain the physiological mechanisms involved (Ex: ADH stimulated or inhibited because ...) in the results from each group: 2. Salt and Water Group (Potato chips and water) – (Isotonic) urine flow rate (v) Specific Gravity Chloride content (ucL) Urinary Excretion of Chloride (UECL) ADH

Nursing diagnosis : Risk of imbalanced fluid volume in NCP Planning(short term goal and long term goal),Intervention ( independent and dependent) Rationale,and Evaluation.

Critical thinking questions: 1. Evaluate Frances' fluid volume and electrolyte status. Which physiological assessment findings support your analysis? Which lab results support your analysis? What is the most likely etiology of these imbalances? 2. Explain the reasons for Frances' ECG changes? 3. Analyze the ABG results. What is the etiology of the primary imbalance? Is the body compensating for this imbalance?

Edema Case Study Questions The following four patients all have severe edema for different reasons. Your challenge is to explain the cause of the edema. In each case, try to explain the edema in terms of either an increase or a decrease in one of the four pressures that cause bulk flow at capillaries. A picture may be useful. Patient 1: Mr. Taylor Mr. Taylor is a 66 year old alcoholic who has been drinking for years. During the past month he has gained over 25 pounds due to water retention. He exhibits swelling in all areas of the body. He has recently been admitted to the hospital and diagnosed with end stage liver failure. What is the connection between the liver failure and his edema? Which capillary pressure is altered and how does it cause edema? Hint: consider the functions of the liver, particularly the ones that affect blood composition.  Patient 2: Mrs. So   Mrs. So is a 28 year old visiting her OB in the 26th week of her pregnancy. She is experiencing varicose veins and…

Medication 2: Order: Biaxin (Clarithromycin) 15 mg/kg/day divided into 2 doses for a child weighing 50 lbs Available: DRUG DOSAGE CALCULATIONS REVIEW WORKSHEET Lab Day 3 NDC 0074-3163-13 14 days. DO NOT REFRIGERATE. After mixing, store at 15° to 30°C (59° to 86° F) and use within shake space. Keep tightly closed. Shake well before each use. Oversize bottle provides May be taken before, after or with meals. 02-7716-R5 58 SPECIMEN BETWEEN ARROWS TEAR PERFORATION Store granules at 15° to 30°C (59° to 86°F). CONSTITUTING INSTRUCTIONS: VOLUME OF WATER: 55 mL Measure the required volume of water using a graduated cylinder. Add half the volume of water to the bottle and shake vigorously. Add the remainder of water to the bottle and shake. Contains 2.5 g clarithromycin. When mixed as directed, each teaspoonful (5 ml) contains: in a fruit punch-flavored, aqueous vehicle. DOSAGE MAY BE ADMINISTERED WITHOUT REGARD TO MEALS. Usual dose: Children: 15 mg/kg/day divided in 2 equal doses. See…

ure.com/course/200 K W 6 3 9:50 E D CONCEPTS 1: ASSIGNMENTS Instructor: Dr. Martin Deficient Imbalanced Impaired Ineffective Risk for ASSIGNMENT 1: DEFINE & COMPARE THE FOLLOWING TERMS TOPICAL CONCEPTS - Acid-Base Balance - Oxygenation - Fluid-Electrolytes . Cognition $ ASSIGNMENT 2: COMPARE AND CONTRAST CONCEPTS 4 R F % 5 Photo G Search or type URL T Due Date: March 9, 2024 G B 6 FOR EACH TOPICAL CONCEPT WRITE A NUR DX RELEVANT TO EACH QUALIFIER LISTED • MacBook Pro Y Deficient Imbalanced Impaired Ineffective Risk for H & 7 ★ U 8 J + O 1 ( 9 ( K 0 ) Done 0 P O Dow O

What is th pathophysiology overview (acidosis or alkalosis? what type? why?), Clinical manifestations (signs & symptoms), Needed assessments, Lab work & diagnostics needed, Nursing interventions and care, Treatments, and Patient teaching for Crohn's disease.

RON is suspected of DKA. Formulate a plan of education for Ron's wife, so she will better understand his condition and be able to assist him to manage those days when is unwell. What areas would you cover? How would you ascertain her understanding?

PatientAge: 72 Gender: Male Height: 172 cm Weight: 78 kgThe doctor's order is Potassium Chloride 40meq in 1L to run for 8 hours for the patient. Based on the Renal Drug Handbook 3rd Edition, the right rate of administration of potassium chloride is the following. ● Infusion up to 20mmol potassium per hour except in an extreme hypokalaemic emergency where some units give up to 40mmol/hour with cardiac monitoring● Give IV solution well diluted (not exceeding 40mmol/500mL) for peripheral administration.● Mix IV solutions thoroughly to avoid the layering effect● Some units give more concentrated solution centrally: 100–200mmol/100mL sodium chloride 0.9% or glucose 5%, but at a rate not more than 20mmol/hour Does the doctor's order comply with the renal drug handbook?

Case Study 3 – Congestive Heart Failure Dottie is a 78-year old CHF patient. She has been exercising with your facility for several years now. She had a CABGx3 in 2020. She came in today with a 5 lb. weight gain since yesterday when she weighed on her home scale this morning. Her meds include- Lipitor, Procardia, and Lasix. (Cholesterol, Calcium channel blocker Hypertension, and Diuretic, respectively) Her blood pressure is 132/88 and her HR = 102; Her weight is 196, up from 191 when last measured. She is a pleasant, overweight individual who enjoys walking on the treadmill and visiting with other members of your facility. 1. What are specific considerations for someone with CHF and exercise? How is the exercise prescription any different from the apparently healthy adult prescription? 2. What is your biggest concern with Dottie today and how would you handle this concern(s)?

Question:Make nursing care plan(ncp) for a kidney failure patient  Past health history: constipation for the last 7 days accompanied by difficulty of breathing (DOB) and Abdominal pain. Present Health history:   chief complaint of Abdominal pain. Prior to admission, facial edema and bipedal edema was notice during physical assessment. Laboratory:  Temperature     36°c, Pulse Rate -127, Respiratory Rate- 22,Blood Pressure  -120/90,URIC ACID  :10.20 mg/dL,CREATININE  :1.33 mg/dL

What is the the pathophysiology overview (acidosis or alkalosis? what type? why?), Clinical manifestations (signs & symptoms), Needed assessments, Lab work & diagnostics needed, Nursing interventions and care, Treatments, and Patient teaching for pneumonia

What is the the pathophysiology overview (acidosis or alkalosis? what type? why?), Clinical manifestations (signs & symptoms), Needed assessments, Lab work & diagnostics needed, Nursing interventions and care, Treatments, and Patient teaching for asthma

A client with hypoparathyroidism complains of numbness and tingling in his fingers and around the mouth. The nurse would assess for what electrolyte imbalance?A. HyponatremiaB. HypocalcemiaC. HyperkalemiaD. HypermagnesemiaRationale:Reference/s:

ASSESSMENT 4 A nurse reviews the drug history of a client who has been prescribed disopyramide for the treatment of an arrhythmia. Which of the following drugs, if taken concurrently, can decrease the serum levels of disopyramide? 1. Erythromycin 2. Quinidine 3. Thioridazine 4. Rifampicin

Kestabie.. oualuai 3-An 8-year-old client is admitted to the hospital after being hit by car while riding a bicycle. The nurse´s assessment reveals the following findings: pale, cool arms and legs, capillary refill time of 6 seconds, heart rate of 135 beats/minute, and blood pressure of 100/80 mmHg The client is crying and asking for something to drink. Which should diagnosis the nursing do first? 1-Neuromuscular impairment. 2-Having a reaction to an antibiotic. 3-Developing circulatory failure. 4-Responding normally to stress Retake II

Discuss the nursing implications for caring for a patient undergoing continuous renal replacement therapy (CRRT).

Medication 1: • Order: Ceclor (cefaclor) 100 mg p.o. q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day divided q8h. Medication Label: NDC 61442-173-02 Directions for Mixing Add 53 ml of water in two portions to dry mixture in the bottle. Shake well after each CEFACLOR Each 5 ml (Approx one Oral Suspension, USP 125 mg anhyhydrate equivalent to P contain Cefaclor L Oversize bottle provides extra space for shaking Store in a refrigerator. May be kept for 14 days without significant loss of potency closed Discard unused portion after 1 Usual Dose:. 125 mg per 5 mL Pediatric Patients-20 mg/kgiday (40 mg kg per day in ottis media) in three divided doses every hours Adults-250 mg See Iterature for hours Prior to Mixing, store at 20 to 25°C (68 to 77F) (See USP Controlled Room Temperature) Protect from moisture dosage information Botte contains a total of Cefaclor Monohydrate equivalent to 1.875 g anhydrous cefactor in a dry strawberry y flavored mixture…

INSTRUCTIONS: Read and analyze the Case scenario.  QUESTIONS: How would you assess for dehydration? What electrolyte imbalance(s) can occur in patients taking furosemide (Lasix)? What relationship exists between this patient’s furosemide, digoxin, and potassium levels? CASE ANALYSIS  A 65-year-old male client has lived alone for the past 3 years. A year ago, he was hospitalized for an MI, which resulted in heart failure. He is compliant with her medications, which include digoxin (Lanoxin) 0.125 mg daily, furosemide (Lasix) 40 mg daily, and potassium (K-Dur) 20 mEq daily. Recently, he ran out of his potassium and thought that because it was “just a supplement,” it would be OK to go without it until the next time he went to town to fill the prescription. He has not taken her potassium for a week. Today, he comes into the clinic with generalized weakness, fatigue, nausea, and diarrhea. Her BP is 100/60, pulse 95 bpm and slightly irregular, RR 18, and temp 97.2 °F. Blood is drawn and…

The nurse cares for a client who has a positive Trousseau's sign The nurse identifies that this is most likely a manifestation of what electrolyte imbalance

PHARMACOLOGY IN PRACTICE MANAGING NEEDS A nurse is caring for a client with renal dysfunction. The PHCP has prescribed a metolazone drug for the client. What should the nurse monitor in the client before administering the drug? Select all that apply. 1. Serum cholesterol levels 2. Levels of serum electrolytes 3. Fluid loss every hour 4. Creatinine clearance levels 5. BUN level

Section Name EXERCISE Date Instructor 18 THE URINARY SYSTEM Critical Thinking and Review Questions 1. List the structures through which urine passes on its way to the outside of the body, starting with the medulla of the kidney. Which structures rely on fluid pressure for the movement of urine? Which structures rely on muscle action for the movement of urine? 2. Match the organ to its description or function. Urinary bladder stores urine a. Ureter b. carries urine to the outside of the body Urethra c. collects urine and funnels it into the ureter Renal pelvis d. carries urine to the bladder 3. Match the structure to its description or function. Glomerulus carries urine through the medulla of the kidney a. Proximal tubule b. wavy tube found farther from the glomerular capsule Distal tubule actively reabsorbs most nutrients с. d. collects glomerular filtrate ball of leaky capillaries Glomerular capsule Collecting duct e. 4. List the structures of the nephron where filtration occurs. List…

Fluid and Electrolytes Case Study Patient Profile: Frances, a 78 years old that lives alone, is admitted to the hospital because of weakness and confusion. She has a history atrial fibrillation and chronic heart failure (HF). On admission it is noted that her at home medications include Digoxin (Lanoxin), Furosemide (Lasix), Metoprolol, Diltiazem and Levothyroxine. Objective Data: Neurologic: Confused; slow to questioning; generalized weakness; states she has trouble focusing his vision- people look green with halo's Cardiovascular: BP 100/59; HR 55 irregular; peripheral pulses weak; ECG indicates Atrial fibrillation with controlled ventricular response Pulmonary: Respirations at 12/min; shallow Skin: decreased turgor; dry mucous membranes Laboratory Results: Digoxin level Electrolytes ● • Mag+ CI- BUN CBC Na+ K+ ABG ● RBC ● WBC ● Creatinine Glucose CO2 Hemoglobin Hematocrit Platelets pH PaO2 PaCO2 HCO3- 1.0 ng/ml 134 mEq/L 2.5 mEq/L 1.2 mEq/L 88 mEq/L 42 mg/dL 0.9 mg/dL 122 mg/dL…

2. Prepare client teaching handouts for each of the following topics: Client who is scheduled for a cystoscopy Treatment and prevention of recurrent cystitis Care of a urinary diversion 3. Develop a chart that compares and contrasts acute renal failure and end-stage renal disease (ESRD).