1 answer

Milton Owens is a 70 year old male admitted with complaints of severe generalized weakness. He...

Question:

Milton Owens is a 70 year old male admitted with complaints of severe generalized weakness. He has a heart rate of 50 and BP of 86/40. He has a history of End Stage Renal Failure (ESRD). The patient is anuric and receives hemodialysis 3 times/week. BUN 72; Cr 4.1.6. The lab calls with a critical electrolyte value. Your preceptor takes the value by phone and reports to you that the potassium level is 6.8 mEq/l. What type of medical orders do you anticipate as the nurse to treat this critical value? 7. What is your priority nursing diagnosis? 8. Your preceptor has a couple more questions for you before the shift ends! She asks you what electrolyte imbalance you would see in renal failure, hypophosphatemia or hyperphosphatemia? And why? How would hyperphosphatemia be treated in this patient?


Answers

I would suggest to undergo a hemodialysis as soon as possible.

My diagnosis is chronic kidney disease.

Due to it the phosphate is not excreted.

In renal failure hyperphosphatemia is seen

Treatment of increased phosphate levels is::

1.Diet modification , decreased phosphate uptake

2.Medications like

calcium based phosphate binders

calcium carbonate

lanatham

sevalmir

.

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