Concept explainers
To identify:
The essential information that is available in patient J’s electronic record to support safe patient care and coordination of care?
Case summary:
The nursing student was experiencing a situation for a time when a patient J, a 15-year-old boy is admitted to the emergency department by the police. The police concluded that the boy swallowed 30 wrapped individual rocks to avoid arrest. The boy refuses to get treated as he denies that he have not possessed any drug, the hospital staffs worried that the boy will not survive if the wrapped cocaine opens up. The hospital attorney told the physician that they can force the treatment if it necessary to save his life. The boy’s mother told that she will sue anyone who touches her boy. The nursing student and her preceptor tried to explain the situation to his mother and calmed down and seemed o understand. The nasogastirc tube is inserted and the bowel preparation solution is sent through the tube. The patient passed out a bag of intact cocaine.
To discuss:
Any other ways to respond or approach the situation?
Case summary:
The nursing student was experiencing a situation for a time when a patient J, a 15-year-old boy is admitted to the emergency department by the police. The police concluded that the boy swallowed 30 wrapped individual rocks to avoid arrest. The boy refuses to get treated as he denies that he have not possessed any drug, the hospital staffs worried that the boy will not survive if the wrapped cocaine opens up. The hospital attorney told the physician that they can force the treatment if it necessary to save his life. The boy’s mother told that she will sue anyone who touches her boy. The nursing student and her preceptor tried to explain the situation to his mother and calmed down and seemed o understand. The nasogastirc tube is inserted and the bowel preparation solution is sent through the tube. The patient passed out a bag of intact cocaine.
To discuss:
What else might the nursing student have done to ensure a successful outcome?
Case summary:
The nursing student was experiencing a situation for a time when a patient J, a 15-year-old boy is admitted to the emergency department by the police. The police concluded that the boy swallowed 30 wrapped individual rocks to avoid arrest. The boy refuses to get treated as he denies that he have not possessed any drug, the hospital staffs worried that the boy will not survive if the wrapped cocaine opens up. The hospital attorney told the physician that they can force the treatment if it necessary to save his life. The boy’s mother told that she will sue anyone who touches her boy. The nursing student and her preceptor tried to explain the situation to his mother and calmed down and seemed o understand. The nasogastirc tube is inserted and the bowel preparation solution is sent through the tube. The patient passed out a bag of intact cocaine.
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Chapter 19 Solutions
FUND.OF NURSING BUNDLE >BI<
- DaVita Dietitian Reference Manual Module 6-Mineral and Bone Disorder Management CASE STUDIES Case 1 James is a 37 year old African American male with CKD Stage 5 secondary to hypertension. He has been on hemodialysis for 5 years. He has a history of hypocalcemia and hyperparathyroidism. He weighs 63 kg. His albumin usually runs in the range of 3.7-3.8 mg/dL. His binder prescription is PhosLo 667 mg, 2 gelcaps at each meal and 1 with snacks. Labs Intact.PTH Corrected Calcium Phos IV Hectorol mcg 7/20 8.1 5.4 1.0 mcg 8/3 8.0 4.6 1.0 mcg 9/28 400 8.5 4.4 1.5 mcg 10/5 8.8 5.0 1.5 mcg 11/16 9.6 5.0 1.5 mcg 12/28 420 9.9 5.4 Per the Zen Tool, what change (if any) would be made to the IV Vitamin D dose? What are your thoughts on the labs? Case 2 Joseph is a 58 year old Hispanic male, on hemodialysis for one year. He has a history of hyperparathyroidism and hyperphosphatemia. He weighs 74 kg. His binder prescription is Fosrenol 500 mg 1 tablet with each meal. Labs Intact PTH Corrected Calcium…arrow_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_forwardDaVita 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 2001arrow_forward
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