Milton Owens is a 70 year old male admitted with complaints of severe generalized weakness. He has a heart rate of 50 and BP of 86/40. He has a history of End Stage Renal Failure (ESRD). The patient is anuric and receives hemodialysis 3 times/week. BUN 72; Cr 4.1.6. The lab calls with a critical electrolyte value. Your preceptor takes the value by phone and reports to you that the potassium level is 6.8 mEq/l. What type of medical orders do you anticipate as the nurse to treat this critical value? 7. What is your priority nursing diagnosis? 8. Your preceptor has a couple more questions for you before the shift ends! She asks you what electrolyte imbalance you would see in renal failure, hypophosphatemia or hyperphosphatemia? And why? How would hyperphosphatemia be treated in this patient?
I would suggest to undergo a hemodialysis as soon as possible.
My diagnosis is chronic kidney disease.
Due to it the phosphate is not excreted.
In renal failure hyperphosphatemia is seen
Treatment of increased phosphate levels is::
1.Diet modification , decreased phosphate uptake
2.Medications like
calcium based phosphate binders
calcium carbonate
lanatham
sevalmir
Milton Owens is a 70 year old male admitted with complaints of severe generalized weakness. He...
Milton Owens is a 70 year old male admitted with complaints of severe generalized weakness. He has a heart rate of 50 and BP of 86/40. He has a history of End Stage Renal Failure (ESRD). The patient is anuric and receives hemodialysis 3 times/week. BUN 72; Cr 4.1. 1. What electrolyte imbalance do you suspect? 2. What other clinical manifestations will you anticipate as you proceed with the physical assessment of this patient? 3. What lab and diagnostic tests...
K.B. is a 32-year-old woman being admitted to the medical floor for complaints of fatigue and dehydration. While taking her history, you discover that she has diabetes mellitus (DM) and has been insulin dependent since the age of 8. She has undergone hemodialysis (HD) for the past 2 years because of end-stage renal disease (ESRD). You initial assessment of K.B. reveals a pale, thin, slightly drowsy woman. Her skin is warm and dry to the touch with poor skin turgor,...
K.B. is a 32-year-old woman being admitted to the medical floor for complaints of fatigue and dehydration. While taking her history, you discover that she has diabetes mellitus (DM) and has been insulin dependent since the age of 8. She has undergone hemodialysis (HD) for the past 2 years because of end-stage renal disease (ESRD). You initial assessment of K.B. reveals a pale, thin, slightly drowsy woman. Her skin is warm and dry to the touch with poor skin turgor,...
K.B. is a 32-year-old woman being admitted to the medical floor for complaints of fatigue and dehydration. While taking her history, you discover that she has diabetes mellitus (DM) and has been insulin dependent since the age of 8. She has undergone hemodialysis (HD) for the past 2 years because of end-stage renal disease (ESRD). You initial assessment of K.B. reveals a pale, thin, slightly drowsy woman. Her skin is warm and dry to the touch with poor skin turgor,...
John is a 59-year-old man admitted to the emergency department with complaints of severe shortness of breath and a cough producing frothy, blood-tinged mucous. His history reveals a myocardial infarction 2 years ago. Since then, he has been on a low-salt diet, digoxin, and furosemide for control of congestive heart failure. The client is admitted to the hospital for treatment of acute pulmonary edema secondary to congestive heart failure. On his fourth hospital day, the client complains of tingling and...
John is a 59-year-old man admitted to the emergency department with complaints of severe shortness of breath and a cough producing frothy, blood-tinged mucous. His history reveals a myocardial infarction 2 years ago. Since then, he has been on a low-salt diet, digoxin, and furosemide for control of congestive heart failure. The client is admitted to the hospital for treatment of acute pulmonary edema secondary to congestive heart failure. On his fourth hospital day, the client complains of tingling and...
John is a 59-year-old man admitted to the emergency department with complaints of severe shortness of breath and a cough producing frothy, blood-tinged mucous. His history reveals a myocardial infarction 2 years ago. Since then, he has been on a low-salt diet, digoxin, and furosemide for control of congestive heart failure. The client is admitted to the hospital for treatment of acute pulmonary edema secondary to congestive heart failure. On his fourth hospital day, the client complains of tingling and...
CASE STUDY: Fluid, Electrolytes, and Acid-Base Imbalances Patient Profile: Mr. T., a 73-year-old man who lives alone, is admitted to the hospital because of weakness and confusion. He has a history of chronic heart failure and chronic diuretic use. Objective Data: Neurologic: Confusion, slow to respond to questioning, generalized weakness Cardiovascular: BP 90/62, HR 112 and irregular, peripheral pulses weak; ECG indicates sinus tachycardia Pulmonary: Respirations 12/min and shallow Additional findings: Decreased skin turgor; dry mucous membranes Significant Lab Results:...
CASE STUDY: Fluid, Electrolytes, and Acid-Base Imbalances Patient Profile: Mr. T., a 73-year-old man who lives alone, is admitted to the hospital because of weakness and confusion. He has a history of chronic heart failure and chronic diuretic use. Objective Data: Neurologic: Confusion, slow to respond to questioning, generalized weakness Cardiovascular: BP 90/62, HR 112 and irregular, peripheral pulses weak; ECG indicates sinus tachycardia Pulmonary: Respirations 12/min and shallow Additional findings: Decreased skin turgor; dry mucous membranes Significant Lab Results:...
Read the following scenario: K.B. is a 32-year-old woman being admitted to the medical floor for complaints of fatigue and dehydration. While taking her history, you discover that she has diabetes mellitus (DM) and has been insulin dependent since the age of 8. She has undergone hemodialysis (HD) for the past 2 years because of end-stage renal disease (ESRD). Your initial assessment of K.B. reveals a pale, thin, slightly drowsy woman. Her skin is warm and dry to the touch...