Patient identifiers

-Medical record number

-home telephone number

What lab values should a nurse monitor for a patient with chronic renal failure?

- ■ Urinalysis

☐ Hematuria, proteinuria, and alterations in specific gravity

☐ Serum creatinine

- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal

failure (ARF)

- Gradual increase over months to years for chronic renal failure (CRF)

exceeding 4 mg/dL

■ Blood urea nitrogen (BUN)

- 80 to 100 mg/dL within 1 week with ARF

- Gradual increase with elevated serum creatinine over months to years for

CRF

- 180-200 mg/dL with (CRF)

■ Serum electrolytes

- Decreased sodium (dilutional) and calcium, increased potassium,

phosphorus, and magnesium

■ Complete blood count (CBC)

- Decreased hemoglobin

What food should you increase when taking Lasix?

- -increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and

orange juice)

Patient reports IV discomfort, what is your first action?

- color and temperature

Sumatriptan (treats migraine headaches) adverse effect

- pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw

slow or difficult speech

Know about Transdermal patch

-• Apply at the same time once each day, preferably in the morning. Keep patch on for

12 to 14 hr each day.

• Remove the patch at night to reduce the risk of developing tolerance to

nitroglycerin. Be medication-free a minimum of 10 to 12 hr each day (usually

at night).

• Do not cut patches to ensure appropriate dosage