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CORALGRILL2014

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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?



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ebonylittles

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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

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Reply 2 on: Aug 21, 2018
:D TYSM


zacnyjessica

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

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ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

The term pharmacology is derived from the Greek words pharmakon("claim, medicine, poison, or remedy") and logos ("study").

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Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

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