such as hyperkalemia, metabolic acidosis, acute renal failure, and cardiac arrest. Signs and symptoms of these complication complications are confusion, delirium, agitation, and seizures. The major laboratory findings are Increased myoglobin and creatinine phosphokinase because of muscular cell death. Treatment The main treatment for rhabdomyolysis is to preserve renal function and prevent kidney failure. Rapid intravenous hydration maintains adequate kidney flow (McCance & Huether, 2014).…
M was admitted to the surgical intensive care unit of the hospital due to left-sided rib fractures 4 through 8 secondary to ground fall. During hospitalization, he seemed confused at times and was started on IV hydration due to an elevated creatinine of 2.1. And after sometimes, he experienced urinary retention with 800 mL of urine in his bladder, for which a Foley catheter was replaced. On day of discharge, He complained of pain and oxycodone was increased him to every 4 hours instead of 6…
Multiple studies have shown IV albumin effective in decreasing the incidence of renal dysfunction from 33% to 10% and mortality from 29% to 10% and is especially beneficial for patients with baseline serum creatinine ≥ 1 mg/dL, blood urea nitrogen (BUN) ≥ 30 mg/dL.1 Patient BB has a baseline serum creatinine level of 1.3 mg/dL and BUN level of 32 mg/dL. Therefore, IV albumin will help prevent further renal dysfunction. Pentoxifylline,…
Tichina Payno Hayes Focus 1: Nutritional Management Focus Objective 1. Develop at least two (2) complete nursing diagnosis related to nutritional status. Impaired Swallowing related to gastroesophageal reflux disease as evidenced by heartburn and epigastric pain. (789) Risk for deficient fluid volume related to deviations affecting intake. (337) Imbalanced Nutrition: less than body requirements related to inability to absorb nutrients as evidenced by abdominal pain and cramping. (527) Risk for…
American EFX Kre-Alkalyn (pH-Correct Creatine) This is the brand that started is all on June 4th, 2002 when Kre-Alkalyn® was awarded United States manufacturing patent #6,399,661. Kre-Alkalyn® EFX is "buffered" creatine that does not convert into creatinine prior to reaching skeletal muscle tissue. It is packaged in a purple capsule that can be administered orally. Kre-Alkalyn® EFX is manufactured exclusively by All American Pharmaceutical Corporation. Why a critical adjustment to creatine's…
impairment; it may be about 30 hours. Dialysis patients treated with a bolus of danaparoid might remain anticoagulated in the inter-dialytic interval, which can be problematic in individuals who no longer have active disease. In patients with serum creatinine ≥2.5 mg/dl, after initial dosing, dose reduction should be done or temporary discontinued to prevent the accumulation of plasma anti-Xa. The drug is…
Hyponatremia is a condition that occurs when the level of sodium in your blood is abnormally low. Sodium is an electrolyte, and it helps regulate the amount of water that's in and around your cells (Mayo Clinic, 2015). When a person runs a long distance their blood is sent to their legs creating less blood flow to other organs such as the kidneys. People who drink too much water while taking part in marathons, ultramarathons, triathlons and other long-distance, high-intensity activities are at…
Labs Bun slightly elevated, creatinine slightly decreased, magnesium decreased and calcium slightly decreased. What is Crohn’s disease? Crohn's disease is one of two disorders that cause an inflammatory process in the intestines. It usually occurs in the ileum but can affect any part…
Case Study 1 Vivek Poudel University of Texas at Arlington In partial fulfillment of the requirements of N5315 Advanced Pathophysiology Mary Schira Ph.D., RN, ACNP-BC September 19, 2017 What causes systemic lupus erythematosus (lupus)? Why did the NP suspect that Sharon may have lupus? (15 pts) Exact cause of systemic lupus erythematosus (lupus) is not known. It is believed that some people are born with tendency to develop lupus that is triggered by a viral infection, chemical…
of AKI is progrossing from prerenal to intrarenal. 4. ( 1 point) What additional tests, if needed, could be done to determine the cause of AKI? There are many additonal test that can be doen to determine the cause of the AKI after a UA, BUN and Creatinine, GFR, eletrolyte pannel and the more common test there are more test more focused on determining the cause rather than diagnosising the AKI. These tests can include a urine sediment, urine osmolarity and speciic gravity…