Fundamentals of Nursing - With Gray Morris Calculate With Confidence
9th Edition
ISBN: 9780323501200
Author: Potter
Publisher: ELSEVIER
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Chapter 12, Problem 5RQ
Summary Introduction
Sudden infant death syndrome (SIDS) is also known as crib death or cot death. SIDS is referred to as the unexpected mysterious death of an infant (below one year). It occurs during sleeping. More exactly it occurs from 8.00 p.m to 8.00 a.m. The exact reason for SIDS is unknown.
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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 2013
DaVita Dietitian Reference Manual
Module 6 - Mineral and Bone Disorder Management
DISCUSSION QUESTIONS
1. What are calcitriol, Hectorol and Zemplar?
• Why are they prescribed?
• How are they given?
• How is therapy monitored?
• What is the patient's role in therapy?
2. What is cinacalcet and when is it used?
. What is the Dietitian's role?
3. What are the differences between the oral forms of active vitamin D/vitamin D
analogs (calcitriol /Hectorol/Zemplar)?
• When they are used?
4. What are 3 effects of high phosphorus levels?
5. What is calciphylaxis? Metastatic calcification?
6. Name four phosphate binder options.
• How are phosphate binders dosed?
• What are advantages and disadvantages of each?
©2013 DaVita HealthCare Partners Inc. All rights reserved.
Copyrighted Material
Page 26 of 44
Origination Date: April 2001
DaVita Dietitian Reference Manual
Module 6 - Mineral and Bone Disorder Management
REVIEW QUESTIONS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
True False
In patients with below-normal albumin levels, it is important to
obtain a corrected calcium value to recognize potential
hypercalcemia.
Hectorol is an active vitamin D analog.
Parathyroid hormone is produced in the pancreas.
A good substitute for Dr. Pepper is Sprite.
Chocolate, nuts and seeds are high in phosphorus.
Cinacalcet replaces binder therapy for controlling
phosphorus.
Calcium carbonate taken between meals acts as a calcium
supplement.
High serum phosphorus levels are linked to the development
of secondary hyperparathyroidism in CKD and a
predisposition to metastatic calcification.
Bone meal, dolomite, or oyster shell should not be used as a
calcium binder because they may contain dangerous amounts
of lead.
Phosphate binders should be taken between meals.
Alucaps are the first choice phosphate binder to try on…
Chapter 12 Solutions
Fundamentals of Nursing - With Gray Morris Calculate With Confidence
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- DaVita Dietitian Reference Manual Module 6 - Mineral and Bone Disorder Management Case 3 Sue Ann is a 52 year old Asian female on peritoneal dialysis using cycler therapy. She has been on dialysis 2 years. She weighs 64 kg. She is taking oral calcitriol and her binder prescription is Renvela 1 tablet with each meal and snack. Labs Intact PTH Corrected Calcium Phos Oral Calcitriol 6/30 400 8.9 7.4 .25 mcg 3x/week 8/11 11.0 7.0 25 mcg 2x/week 9/11 626 9.0 6.8 .25 mcg 3x/week 10/12 555 10.3 6.9 25 mcg 2x/week 11/14 680 10.4 6.6 What are your thoughts regarding the Intact PTH and other labs? What therapy options would you recommend? What are your thoughts regarding patient education needs?arrow_forwardAs nursing students, how could identifying key sources of fear and anxiety due to hospitalisation in school age patients be applied in future practice and what are practical examples of it.arrow_forwardAs nursing students, why is it important to be knowledgable about key sources of fears and anxiety for school age patients and effective interventions to mitigate it?arrow_forward
- Why does a dietitian manager need to know about the importance of BMI and classifying malnutrition patients in a facility and how it can impact their work performance.arrow_forwardIdentify Documentation of patient assessment data. Identify different types of progress notes such as DAR and SOAP. What do they mean? Is one better to use than the other? Please cite in text sources and list references.arrow_forwardWhy does a dietitian manager need to know about compliance with safety and sanitation standards in a facility and how it can impact their performancearrow_forward
- Why does a dietitian manager need to know about food labeling that shows prep date and use by date for foods and how it can impact their performance in a facilityarrow_forwardWhy does a dietitian manager need to know about dysphagia diets when operating a kitchen and how it can impact their performancearrow_forwardYou are ordering the chlorpromazine 50mg tablets to last the ward for a month. each cost £19.95 the ward needs 395 boxes. you have £6000 left in the ward budget for the rest of the supplies you need. 1) work out an estimate amount of money you have left. 2) is your answer to (1) an underestimated or overestimated? give a reason for your answerarrow_forward
- Nutrition CKD guidelines recommendations (put in table please)arrow_forwardAccording to the sociocultural perspective, what is the focus of early communication for infants younger than 12 months? A) Sound B) Context C) Content D) Survivalarrow_forwardA patient is admitted to the medical floor in a health care facility. She is confused and won’t stay in her bed. The patient is placed in a room at the end of the hall away from the nurses station and she is not easily seen by staff. The patient continues to get out of bed without using her call light and eventually falls, resulting in an injury. Identify the risk management issue presented. Recommend how you would resolve the issue. Identify key points in your decision-making process that led you to your resolution. Explain how you would use at least 2 risk management tools to analyze, solve, or monitor the issue. Explain how you would work with the quality manager to address the issue. Describe challenges you foresee with the proposed resolutions.arrow_forward
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