Pharmacology
When phosphorus is increased, this is decreased.
What is calcium
Renal failure patients should avoid this over-the-counter medication due to nephrotoxic effects.
What is Ibuprofen or NSAIDS
This assessment must always be performed before and after hemodialysis to detect access complications.
What is checking for a bruit and thrill?
This electrolyte imbalance is common in renal failure and may require administration of calcium gluconate, insulin with glucose, or sodium polystyrene sulfonate.
What is hyperkalemia
What is Warfarin
To reduce the risk of infection in dialysis patients, nurses should implement this key intervention.
What is aseptic technique during access care?
This is the preferred site for hemodialysis access and should not be used for IVs, blood draws, or BP readings.
What is a fistula or graft arm?
This newer class of anticoagulants does not require routine lab monitoring.
What are direct oral anticoagulants (DOACs)?
apixaban (Eliquis), rivaroxaban (Xarelto), or dabigatran (Pradaxa)?
INR is used to monitor which medication?
What is Warfarin
This nutrient is restricted in renal failure to reduce uremic symptoms.
What is Protein
This lab value should typically be between 2.0–3.0 for a patient on warfarin therapy.
What is the therapeutic INR range
This blood product is given to increase a patient’s oxygen-carrying capacit
What is Packed Red Blood Cells (PRBC's)
The antidote for heparin
What is protamine sulfate
These electrolytes are commonly restricted in renal diets.
What is potassium, phosphorus, and sodium
Patients on anticoagulants should immediately report this symptom, which may indicate internal bleeding
What is black/tarry stools, blood in urine, or easy bruising?
Before administering a blood transfusion, the nurse must verify this critical information with another nurse.
What is patient identification and blood type/crossmatch
Inactivates thrombin and factor Xa
What is heparin
Patients receiving a blood transfusion must be monitored for the first 15 minutes for these signs.
What are fever, chills, rash, or back/chest pain
This type of transfusion reaction is life-threatening and causes hypotension, dyspnea, and chest pain
What is a hemolytic reaction
If a patient has a history of allergic transfusion reactions, the nurse may administer this medication before starting the transfusion.
What is diphenhydramine (Benadryl)?