NU 231 CUSTOM NURSING BUNDLE
9th Edition
ISBN: 9781975150372
Author: Taylor
Publisher: Wolters Kluwer
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Chapter 1, Problem 1PFN
Summary Introduction
To identify: On which part of nursing does the diagnostic procedures for the given condition come under.
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Module 4 - Interpreting Labs.pd X CB CastleBranch Login
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DaVita Dietitian Reference Manual
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+ 90%
Module 4-Evaluating Laboratory Values
Case 3
Ray dialyzes three times a week on 2 K+ bath. His appetite is fair and he takes ReGen
(4 oz. TID) to supplement his intake. His medications include: Nephrovite RX, PhosLo
(1 at breakfast, 1 at lunch, 2 at supper) Prilosec, Imdur, Zemplar and Epogen. He says
he's been feeling weak and tired and has SOB (shortness of breath). He reports having
diarrhea for 2 days. His blood pressure is low
Date PreBUN PostBUN URR KUV Creat Alb CO2 K+ Ca PO4 PTH- Hgb
intact
5.3 9.0 4.9 160 11.5
5.4 8.9
5.4
6.5 9.3 6.1
01/01
02/01
03/01
37
8
40
9
104
missed
78% 1.6 7.7 3.2 25
78% 1.6
3.5 22
3.0 21
7.5
7.6
10.8
8.4
What do you suspect is the reason for his change in lab values?
Case 4
Margaret is a 78-year-old woman…
Module 4 - Interpreting Labs.pd X CB CastleBranch Login
Merged-TDL-Files--2024103012280X
1k6uo8tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inline
DaVita Dietitian Reference Manual
+ 90%
Module 4-Evaluating Laboratory Values
CASE STUDIES
Case 1
Steve has been on hemodialysis for 3 years. His medications include Nephrocaps,
PhosLo (3 at breakfast, 2 at lunch, 3 at supper), Lisinopril, EPO and Venofer. Patient
reports he has had the flu and not eaten much for the past 4-5 days, but has continued
to take all medications as prescribed.
Date PreBUN PostBUN URR KWV Creat Alb CO2 K+ Ca PO4 PTH- Hgb
intact
12/01 54
01/02 55
02/02 40
18
17
12
68% 1.33 12.3 3.9 24 4.7 11.0 5.9
69% 1.39 12.2 4.0 23 4.8 11.0 5.2
70% 1.45 12.5 4.0 26 4.1 12.5 4.5
96 12.3
12.1
11.9
What are possible reasons for increasing hypercalcemia in February?
Case 2
Barb has been on hemodialysis for 1½ years. She has diabetes, but is not currently
taking an antiglycemic agent.…
zm
Module 4 - Interpreting Labs.pd X
CB CastleBranch Login
X Merged-TDL-Files--2024103012280X
marks Tools Window Help
100% E
pl Dietetic Practitioners
s://d3da1k6uo8tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inline
+ 90%
DaVita Dietitian Reference Manual
Module 4-Evaluating Laboratory Values
REVIEW QUESTIONS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
True False
A patient who has a low bicarbonate level will also have
a low potassium level.
Causes of low albumin include low protein intake,
infection, proteinuria and severe liver disease.
Inaccurate handling of the blood specimen can result in
a falsely low PTH.
In a patient on hemodialysis, a potassium level of 6.0 is
acceptable.
An excessive intake of meat will result in higher levels of
BUN, phosphorus and potassium.
In a patient without kidney function, hyperglycemia will
be accompanied by hypokalemia.
A patient with access problems is likely to have
increased levels of potassium, BUN, creatinine…
Chapter 1 Solutions
NU 231 CUSTOM NURSING BUNDLE
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Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.Similar questions
- Tools Window Help zm Module 4 - Interpreting Labs.pd X CB CastleBranch Login x Merged-TDL-Files--2024103012280X pl Dietetic Prac Halk6uo8tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inlin - + 90% CASE STUDIES-DISCUSSION Case 1 His lower BUN, K+ and phosphorus are consistent with his reported decrease in intake due to the flu. His high calcium level is a consequence of taking his prescribed amount of PhosLo while eating less food. Thus, he absorbed more calcium from his phosphate binder. In this patient, with adynamic bone disease (low PTH without IV vitamin D therapy), he is unable to deposit calcium in his bones, so serum level rose quickly. PhosLo was held and the next week his calcium was 11.0 and phosphorus 5.8. Other possibilities for a rise in calcium might be that patient took Tums (or another calcium-containing antacid) because of the flu or heartburn; took phosphate binders between meals rather than with meals; was consuming…arrow_forwardlast two please (3 and 4)arrow_forward08tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inline DaVita Dietitian Reference Manual + 90% Module 4-Evaluating Laboratory Values DISCUSSION QUESTIONS 1. Why is hyperkalemia dangerous? 2. What are 3 possible causes of hyperkalemia? 3. How is hyperkalemia managed? 4. What are 3 reasons for hypoalbuminemia in hemodialysis patients? 5. What are the side effects of hypoalbuminemia? 6. What are 3 possible reasons for a patient to have a low BUN? A high BUN? FEB 5 tv MacBook Airarrow_forward
- As nursing students dealing with school age patients with anxiety or fear related to hospitalisation, identify relevant and credible resources and explains their significance.arrow_forwardDescribe which of the 4 biomolecules could be used as a source of carbon and energy in a microbial growth media?arrow_forwardHow to teach mock dialysis (HD) patients how to decrease phosphorus on his/her dietarrow_forward
- Explain screening and monitoring best practices for CKD in diabetesarrow_forwardIdentify the pathophysiology and risk factors of CKD in diabetesarrow_forwardFEB 4 DaVita Dietitian Reference Manual Module 1 Introduction Commonly Prescribed Medications for Dialysis Patients Below is a list of commonly prescribed medications for dialysis patients. Complete this worksheet throughout the training to become familiar with these medications, their use and nutritional effects. Discuss with Preceptor. MEDICATION Module 3-Nutrition Assessment Colace Miralax DESCRIPTION/ INDICATION FOR USE Kayexalate Module 5 - Nutrition Support Nepro Novasource Renal ProCel Liquacel Module 6 - Mineral and Bone Disorder Management Aluminum hydroxide CalciChew Calcium acetate Calcium carbonate (Tums) Calcijex Calcitriol Fosrenol Hectorol MagneBind Oscal PhosLo Phoslyra Renagel 2013 DaVita HealthCare Partners Inc. All rights reserved. Origination Date: November 2002 A útv e SIDE EFFECTS/ NUTRITIONAL IMPLICATIONS Page 18 of 22 Revised: October 2013arrow_forward
- - DaVita Dietitian Reference Manual + 60% V Module 1 - Introduction BASIC DEFINITION ABBREVIATION / TERM Module 6 - Mineral and Bone Disorder Management MBD PTH KDIGO Zen Tool Module 7 - Adequacy A-V fistula (AVF) A-V graft (AVG) Albuminuria BFR Catheter CVC Dialysate Dialysis DFR spKt/V stdKt/V KOA KRU URR Module 10-Continuous Improvement DQI FHR FHM IP QIP 2013 DaVita HealthCare Partners Inc. All rights reserved. Origination Date: November 2002 Page 21 of 22 Revised: October 2013 ductionarrow_forwardFEB DaVita Dietitian Reference Manual Module 1 - Introduction REVIEW QUESTIONS 1. 2. 3. 4 5. 9 6. 7. 8. 9. 6 10. True False DaVita's Mission is to be the provider, partner and employer of choice. Stage 5 CKD (GFR< 15 cc/minute) is classified as kidney failure. Two of the leading causes of CKD are diabetes and hypertension. Peritoneal dialysis therapy can be done independently at home. Healthy kidneys function to maintain acid/base balance, remove wastes and fluid, produce erythropoietin and to activate vitamin D. The diet for hemodialysis is more liberal than the diet for peritoneal dialysis. A typical hemodialysis treatment schedule is 5 times per week for 2 hours per treatment. The dietitian does not have to wear PPE since he/she does not initiate or terminate the dialysis treatment. Nutrition report cards are discussed with the patients on a quarterly basis. FUN is a DaVita Core Value 2013 DaVita HealthCare Partners Inc. All rights reserved. Origination Date: November 2002 4 tv d…arrow_forwardPEB 4 DaVita Dietitian Reference Manual Module Introduction Commonly Used Abbreviations and Terms In Dialysis Below is a list of commonly used abbreviations and terms used in dialysis. Complete this worksheet throughout the training use in order to become familiar with these terms and abbreviations. Discuss with Preceptor. ABBREVIATION / TERM Module 1 - Introduction CKD BASIC DEFINITION HD ICHD GFR KDOQI NKF CMS Module 2- Resources CRN Module 3 - Nutrition Assessment RRT Target Weight NPCR/nPNA SGA IDWG IDT POC MIS Module 5-Nutrition Support IDPN IPN ONS ©2013 DaVita HealthCare Partners Inc. All rights reserved. Origination Date: November 2002 Page 20 of 22 Revised: October 2013 tv S A Warrow_forward
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