Medical-surgical Nursing Demystified

(Sean Pound) #1

(^444) Medical-Surgical Nursing Demystified
TREATMENT



  • Administer medications orally in divided doses during the day to bind
    phosphate:

    • calcium acetate

    • aluminum hydroxide

    • lanthanum



  • Dialysis to remove excess phosphate.

  • Diet low in phosphorus to avoid excess intake.

  • Monitor labs for correction of electrolytes.


NURSING DIAGNOSES



  • Risk for injury

  • Imbalanced nutrition


NURSING INTERVENTION



  • Monitor intake and output.

  • Monitor vital signs.

  • Explain to the patient:

    • No over-the-counter medications (i.e. laxatives) that contain phosphorus
      to avoid recurrence.

    • Medication use and schedule.




Dehydration


WHAT WENT WRONG?


A state of having less-than-normal body fluids, due to an excess loss of fluids or
an inadequate intake of fluids. Dehydration may be actual or relative. A relative
dehydration exists when the amount of fluid and electrolytes in the body is cor-
rect, but the placement is not correct. If fluid shifting has occurred and the fluid
is now in the interstitial areas rather than in the circulating blood volume, the
patient may actually be experiencing a relative dehydration. Even though there is

13

Free download pdf