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Please explain the different types of dialysis and how they are used.
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- 31-year-old woman with a history of: depression; seizure disorder; anemia; diabetes; hypertension; end stage renal disease; polysubstance abuse and malfunction of hemodialysis catheter. When the patient was age 14, she was diagnosed with diabetes, this led to hypertension; she had a son at age 21 and the pregnancy led to kidney failure and the need to go on dialysis. She has since had several access revisions. The patient also reported having a history of depression, anxiety and post-traumatic stress disorder (but would not elaborate). When I first introduced myself to this patient, she was very angry and was facing away from me, staring at the wall. She was in isolation for MRSA and VRE and this truly made her feel more isolated. I asked if I could assist her with anything and she said she needed some sheets on her bed so she could lie down and she needed pain medication. She was very itchy and needed the linens washed in Ivory. I offered to go and collect the sheets from housekeeping…After reading the following article, answer the questions mentioned below. https://todaysveterinarypractice.com/urology-renal-medicine/managing-feline-urethral-obstruction/ 1. What diagnostic tests should be performed on a patient with suspected urethral obstruction and why? 2. Explain the priorities when stabilizing a patient with urethral obstruction. 3. Explain the supportive care that should be implemented for a patient with urethral obstruction.A 27-year old woman of 35 wks gestation with gestational diabetes reports having headaches for the last day that will not go away. Discuss what questions you would ask the patient, and what further testing you would want to have performed.
- A renal failure patient presents to the renal unit for a follow-up exam for a UTI. The nurse places a BP cuff on the patient’s arm, and at that moment, detects the thrill from a dialysis fistula. As she removes the BP cuff, the doctor, seeing what she has done, reprimands her in front of the patient and the patient’s friends, stating abruptly, “The patient has a fistula in that arm.” The nurse is embarrassed but does not speak to the doctor about the situation. Later that day, the same doctor asks another team member, a nurse, for a report on one of his patients. The nurse proceeds with the report but is unable to recall the patient’s BP or pulse. Another nurse who knows of this information chooses not to share it with the doctor for fear he will reprimand her for speaking up. You are an in charge nurse of the renal unit. The nurse should obtain information that clarifies the nature of the problem and suggests possible solutions. Discuss ways the this situation could have been avoided…Health Care Problems Therapeutic Goal Therapeutic Recommendation Rationale Grave’s Disease Chronic Renal Dysfunction Iron deficiency AnemiaWhich of the following groups of drugs are commonly added to peritoneal dialysis solutions? Cardiac drugs Antimicrobial drugs Blood pressure drugs Analgesic drugs
- Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…Describe each condition concisely and add screening methods for early detection and disease prevention. Hypertension Diabetes Hypercholesterolemia/ Dyslipidemia and Hyperlipidemia CancerNephritis DEFINITION AND /PREDISPOSING FACTORS ANATOMY AND PHYSIOLOGY/ PATHOPHYSIOLOGY CONFIRMATORY DIAGNOSTIC/LABORATORY WORK-UP PHARMACOLOGY ASSESSMENT/ NCP EDUCATION/FOLLOW-UP /HOME CARE
- The physician orders a therapeutic IV medication at 2 milliliters per kilogram per dose. The client weighs 120 pounds. What is the individual dose?A client with heart failure (HF) is taking a diuretic to manage fluid retention. In evaluating the effectiveness of the medical regimen, which assessment is most important for the practical nurse (PN) to monitor? A Daily weight. B Blood pressure readings. C Color and clarity of urine. D Serum electrolytes.A 50-year-old woman presents for a follow-up visit to discuss the laboratory results from her annual physical examination and a treatment plan. Her total serum cholesterol level is 260 mg/dl, which is up from 200 mg/dl the previous year. Her blood pressure is 140/100 mm Hg, which is up from 135/90 mm Hg; she weighs 165 lb, a gain of 12 lb from the previous year. Results from other tests and her physical examination are normal. Her height is 5 ft 3 in. She is postmenopausal and has been receiving hormonal replacement therapy for 2 years. You discuss her increased lipid levels and increased blood pressure in the context of her weight gain and dietary habits. When asked about her dietary habits, she says that she has heard that putting salt on food causes high blood pressure. She asks if she should stop putting salt on her food because her blood pressure is high. How would you describe for this patient the relationship between sodium and hypertension? O A. Tell her that reducing sodium…
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