Author Question: Identify any signs (including laboratory values) or symptoms from the physician's history and ... (Read 21 times)

CORALGRILL2014 · **on:** Aug 21, 2018

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 · **Reply #1 on:** Aug 21, 2018

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