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Pharmacology and the Nursing Process, 8e
8th Edition
ISBN: 9780323358286
Author: Linda Lane Lilley PhD RN, Shelly Rainforth Collins PharmD, Julie S. Snyder MSN RN-BC
Publisher: Elsevier Science
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Question
Chapter 32, Problem 5O
Summary Introduction
To identify:
The various drugs used to manage type 1 and type 2 diabetes mellitus.
Concept introduction:
Diabetes mellitus is a
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CASE STUDIES
Case 1
Peter is new to hemodialysis. His renal failure is due to hypertension. He weighs 120
kg. Prior to admission to the dialysis facility, he did not receive Procrit, Aranesp or
Epogen (EPO).
His bloodwork includes:
• Hemoglobin = 9.0 mg/dL
• Iron Saturation (ISAT) = 15%
Fernüin = 95 ng/mL
HD SHAPE 5.1 was ordered by the physician.
What are your recommendations?
Case 2
Sandy is new to hemodialysis. Her renal failure is due to diabetes. During the month
prior to admission to the dialysis facility, she received Procrit (2000 units, once a week
which is comparable to Epogen at the same dose). She weighs 65 kg. Sandy has an
infection on her foot due to diabetes
Her bloodwork includes the following.
Hemoglobin = 9.4 mg/dL
Iron Saturation (ISAT) = 25%
Ferritin = 1230 ng/mL
HD SHAPE 5.1 was ordered by the physician.
What are your recommendations?
What factors are affecting this patient's response to erythropoietin?
Question 1:
Between the 1850’s and 1930’s, physicians gained authority and status. What is one condition or event that led to this? Starr mentions many conditions or events that led to physicians gaining authority and status, just post one (Consult the Starr textbook, Chapter 3).
Question 2:
Due to the litigious nature of medicine, physicians often order more tests (lab, X-ray, CT, MRI, EKG, etc.) than the standards of care suggest. This is sometimes referred to as “defensive medicine.” Additionally, a significant amount of a physician’s income is used to pay malpractice/liability insurance. If health care reform initiatives considered capping or limiting the physician’s liability to keep health care costs down, how could it be done?
what is the implications of high bp and low bp in respiratory medicine
Chapter 32 Solutions
Pharmacology and the Nursing Process, 8e
Knowledge Booster
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