Medical-surgical Nursing Demystified

(^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

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