What that Med
Name that lab
CKD
Name that diagnosis
Dialysis
100
This medication can cause constipation and dark stools and should be given with a stool softner.
What is Ferrous Sulfate(Feosol)?
100
Normal range for an adult is 10-20mg/dL
What is blood urea nitrogen (BUN)?
100
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?
100
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?
100
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?
200
Used when heart filure induces renal failure or makes it worse, also improves ventricular contraction, SV, and CO.
What is Digoxin (Digtek, Lanoxin)?
200
Normal range for an adult female is 0.5-1.1mg/dL
What is creatinine?
200
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?
200
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?
200
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?
300
Used to prevent blood clots from forming within the dialyzer or the blood tubing during HD treatment.
What is Heparin?
300
The normal range for an adult is 136-145mEq/L
What is sodium?
300
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?
300
Interventions include drug therapy with diuretics to help control the symptoms of this diagnosis and the B/P.
What is Excess Fluid Volume?
300
The most common problem or complication that occurs with AV access.
What is thrombosis?
400
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?
400
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?
400
Changes occur in fat metabolism that increase lipid levels (Chol., trigs, LDL are increased)
What is hyperlidemia?
400
Interventions include nutrition therapy to prevent malnutrition but that include protein, sodium, potassium & phosphorus restrictions.
What is Imbalanced Nutrition?
400
Can cause hypotension if given during HD
What is vasoactive drugs? See p.1625
500
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)?
500
This lab would be above 2.1 mEq/L in renal failure.
What is magnesium? (normal mag 1.3-2.1)
500
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?
500
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?
500
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?
Click to zoom
M
e
n
u