What that Med
Name that lab
Name that diagnosis
This medication can cause constipation and dark stools and should be given with a stool softner.
What is Ferrous Sulfate(Feosol)?
Normal range for an adult is 10-20mg/dL
What is blood urea nitrogen (BUN)?
When CKD worsens and acid retention increases, increased respiratory action is needed to keep the blood PH normal. The respiratory system adjusts or compensates for increased blood hydrogen ion levels (decreased PH) by increasing the rate and depth of breathing to excrete CO2 through the lungs.
What is Kussmaul respiration?
Providing meticulous care to any area where the skin integrity is impaired (open) is an intervention for this diagnosis. Monitor for fever & tachycardia.
What is risk for infection?
Formed by connecting (anastomosis) an artery to an vein. Most common is the radial or brachial artery to the cephalic vein in a nondominate arm.
What is Arteriovenous fistula or AV graft?
Used when heart filure induces renal failure or makes it worse, also improves ventricular contraction, SV, and CO.
What is Digoxin (Digtek, Lanoxin)?
Normal range for an adult female is 0.5-1.1mg/dL
What is creatinine?
GFR reduction continues and ranges from 30-59 mL/min., the nephron damage continues and the remaining nephrons cannot manage metabolic waste, fluid balance, & electrolyte balance.
What is moderate CKD?
If a client is unfamiliar with their settings, lacks knowledge of the treatment, this diagnosis can occur. It is best for the nurse to provide continuity of care & develop a nurse-client relationship to listen to the client & resolve issues.
What is anxiety?
The passive transfer of toxins in dialysis. Movement of molecules from an area of higher concentration to an area of lower concentration.
What is diffusion?
Used to prevent blood clots from forming within the dialyzer or the blood tubing during HD treatment.
What is Heparin?
The normal range for an adult is 136-145mEq/L
What is sodium?
In this stage reduced kidney function occurs without buildup of waste in the blood because the nephron overworks to compensate for the diseased nephron.
What is reduced renal reserve or the first stage of CKD?
Interventions include drug therapy with diuretics to help control the symptoms of this diagnosis and the B/P.
What is Excess Fluid Volume?
The most common problem or complication that occurs with AV access.
What is thrombosis?
C/P, difficulty breathing, HTN, rapid weight gain, seizures, skin rash or hives, & swelling of the ankles & feet are all side effects that need to be reported immediately to the physician.
What is a Epoetin Alfa (Epogen, Procrit) or What is synthetic erythropoietin?
If this lab test is 7.0mEq/L , it is treated with Kayexalate by mouth or via enema,to decrease the level.
What is potassium?
Changes occur in fat metabolism that increase lipid levels (Chol., trigs, LDL are increased)
What is hyperlidemia?
Interventions include nutrition therapy to prevent malnutrition but that include protein, sodium, potassium & phosphorus restrictions.
What is Imbalanced Nutrition?
Can cause hypotension if given during HD
What is vasoactive drugs? See p.1625
Drug used to lower the serum phosphorus level by binding phosphorus in food.
What is Aluminum hydroxide gel (Amphojel, AlternaGel, Alu-Cap, Nephrox)? or What is Aluminum carbonate gel (Basaljel)?
This lab would be above 2.1 mEq/L in renal failure.
What is magnesium? (normal mag 1.3-2.1)
Occurs late in the disease when powdery deposits of urea and uric acid salts are noted on the skin, especially the face.
What is uremic frost?
If the client with CKD is unable to eject blood adequately from the L ventricle thus leading to pressure in the L atrium and pulmonary vessels. The client has a potential for this.
What is Potential for Pulmonary Edema?
May develop during or after HD. The cause is thought to be the rapid loss of fluid volume and blood urea nitrogen (BUN). Can cause cerebral edema and increased ICP.
What is Dialysis Disequilibrium Syndrome?
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