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Pharmacology and the Nursing Process
7th Edition
ISBN: 9780323087896
Author: Linda Lane Lilley
Publisher: Elsevier Health Sciences
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Question
Chapter 54, Problem 4O
Summary Introduction
To develop:
The nursing care plan including all the phases of nursing process for the patients taking drugs to treat anemia.
Concept introduction:
The nursing care plan is a direction or means of communication with the prescribers, patients, and the nurses. This is performed to achieve the wellness of the patient. It is a process of documentation performed by the nurses to mediate the health condition of the patient and their diagnoses report to the prescribers.
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FEB
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
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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
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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…
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Similar questions
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- 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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