Identify any signs (including laboratory values) or symptoms from ...

[CORALGRILL2014]

Identify any signs (including laboratory values) or symptoms from the physician's history and physical and from the nursing assessment that are consistent with dehydration.
 
  What will be an ideal response?

Question 2

List all medications that Mrs. Caldwell is receiving. Determine the action of each medication and identify any drugnutrient interactions that you should monitor for.
 
  What will be an ideal response?

[ebonylittles]

Answer to Question 1

 dry skin
 tenting skin turgor
 skin condition: ecchymosis, dry, tears, tenting
 mucous membranes: dry, petechiae
 +1 pedal edema
 diminished bilateral pulses
 cloudy, amber urine

Answer to Question 2

Medication Indications/Mechanism Nutritional Concerns
Catapres Antihypertensive -- -2 adrenergic agonist N/V, dry mouth, constipation, avoid alcohol
Procardia Calcium channel blocker -- vasodilator Nausea, vomiting, diarrhea or constipation; avoid alcohol, licorice, and grapefruit; take with a low-fat meal
Carvedilol Beta blocker -- reduce cardiac output Fluid retention, hyperglycemia; take with food
Lasix Diureticprevent fluid retention/can be used to treat hypertension Hypokalemia, increased thirst
Prednisone Immunosuppressantpr event rejection of transplant Increased appetite, osteoporosis, hyperglycemia, fluid retention, poor wound healing
Gengraf Immunosuppressant; prevent rejection of transplant Nausea, vomiting, upper abdominal pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice, hyperkalemia
CellCept Immunosuppressant; prevent rejection of transplant GI bleeding, N/V, abdominal pain, dyspepsia, peripheral edema, hypophosphatemia, hypercholesterolemi a, hyperglycemia; do not take Ca, Mg, Fe, or Al supplements within 2 hours of taking; take on empty stomach
Fish oil Anti-inflammatory Increased risk of bleeding
Prinivil Antihypertensive (angiotensin-converting enzyme ACE inhibitor) Hyperkalemia; herbs may attenuate effects (e.g. cayenne, ginger, ginseng, licorice, etc.)
Sodium bicarbonate Normalize blood pH  High in sodium
 Take Fe supplement separately, 1 hr before or 2 hr after drug
 Increased thirst
 Increased weight (edema)
Renal caps Replace vitamins lost in dialysis  GI irritation
 N/V
 Take after dialysis
Renvela Phosphate binder used in CKD  Low-phosphorus diet
 Nausea
 Dyspepsia
 Diarrhea
 Constipation
 Flatulence
 Severe decrease in GI motility
 Low serum phosphorus, calcium
Calcitriol Vitamin D  Nausea, vomiting, stomach pain, constipation
 Loss of appetite
 Dry mouth, increased thirst
 Metallic taste

[CORALGRILL2014]

TYSM

[Liddy]

Excellent