asian baby girl
what is the ultra-rapid insulin called?
semiglutide (Ozempic)
autosomal recessive polycystic kidney disease
your patient has not voided within the past 20 hours and is complaining of suprapubic pain. which noninvasive diagnostic test does the nurse anticipate the doctor to order?
bladder scan
do deez nuts...
FIT IN YO MOUTH
Give 3 causes of respiratory acidosis.
CNS depression (OD, head trauma, stroke, encephalitis), PNA, pulm edema, pneumothorax, pleural effusions, upper airway obstruction, asthma, COPD, sleep apnea, scoliosis, emphysema, chronic bronchitis, MG, Gullian barre, spinal cord injury, chronic bronchitis
why is insulin preferred over metformin in acute care settings? there are 2 reasons.
1. metformin is contraindicated for procedures with contrast dye
2. blood sugars are typically higher when pts are admitted in the hospital and require more coverage
your patient was admitted for nausea, vomiting, and abdominal tenderness. after peritoneal dialysis, the fluid is cloudy. what do you suspect the patient has?
peritonitis
your patient had a kidney biopsy at the start of your shift. they want to get up to go to the bathroom. what do you do?
tell them they are strict bedrest due to risk of hemorrhage
which one of us is likely to end their sentence in "RRRRRRRRR"
nikiRRRRRRRRRR
what are the three mechanisms the kidneys do for the acid elimination?
1. secretes free hydrogen
2. Combines H+ with ammonia
3. excretes weak acids
name the three P's associated with hyperglycemia
polyuria, polydispsia, and polyphagia
your patient is c/o blurred vision, increased thirst, polyphagia and diaphoresis. what blood test does the nurse anticipate the doctor to order? name 2.
what is crystal's favorite activity?
karaoke!!
pH: 7.38
PaCO2: 33
HCO3: 21
fully compensated metabolic acidosis
what is the pathophysiology for metformin?
enhances sensitivity to insulin and slows down the breakdown of glycogen to suppress glycogenesis
what are dietary teachings for clients with renal calculi? give 3.
-consume 1000 mg of calcium daily
-limit intake of sugary beverages
- avoid nutritional supplements
-avoid bran within diet d/t high quantities of oxdiates
when should you assess a patient's blood sugar? and when do you administer insulin?
before meal times and administer insulin at meal times
how may templates did nico have to do tonight?
12
pH: 7.63
PaCO2: 30
HCO3: 25
uncompensated respiratory alkalosis
what is the onset, peak and duration for intermittent insulin?
onset: 1-5hr
peak: 4-12hr
duration: up to 24 hrs
your patient recently had a CT scan of their kidneys with contrast dye. a couple hours after the patient complains of nausea, oliguria, abdominal pain and has a blood pressure of 175/103. what kind of urinary impairment does the patient have? be specific.
intrarenal AKI
a patient was diagnosed with hyperosmolar hyperglycemic state. what do you expect their serum pH level to be?
pH greater than 7.4
what is ann's middle name?
mariko