Labs
Which lab would you look at to determine if the patient requires a blood transfusion and does this patient need a blood transfusion?
Hgb
Yes
Pt wants to ambulate, before doing so what assessment should you do?
Dermatomes
What is the class of metoprolol?
Beta blocker
Pt teaching : Hip precautions
Do not bend forwards more than 90 degrees
Do not cross legs
Do not roll hips inwards or outwards
What is the normal range for Hgb? Below ___ would indicate a need for blood transfusion.
120-180 g/L
80
after hearing the lungs you hear crackles near the bases bilaterally. What will you encourage the pt to do?
Deep Breathe and Cough
Folic Acid is a form of Vitamin B9, helps patient with anemia as it helps make healthy RBCs
What is Anemia? What is the most common cause of anemia?
Anemia is when you lack enough healthy RBCs. The main cause is usually low iron levels in the body
What is the normal range for Potassium?
3.5-5.2 mmol/L
Name some reasons BP may be low.
Not drinking enough fluids, IV SL, HTN medications, blood loss from surgery.
What medication would you give for her K+ levels? What symptoms may the patient experience when receiving this medication?
Kayexalate
Pt may urinate a lot and have many BMs
What is thrombocytopenia? What should you look out for?
Low platelet count. Watch out for bleeding
Is the patient's K+ level within the normal range? If not why?
No, the patient has high K+ levels related to CKD
What are S/S of post blood transfusion reaction
Itchiness, hypotension, fever/chills, dyspnea, resp distress, back/flank pain, dizziness
Looking at the pts vitals, what medications would you hold off for later and why?
amlodipine and candesartan can be held for later as they mainly lower the BP.
What is CKD? Which other diagnoses contribute to CKD
Chronic Kidney Disease: kidneys are damages and cannot filter blood efficiently. Damage happens slowly over a long period of time. Can cause wastes to build up in the body.
Diabetes and HTN