Disconnecting

Last Friday, I disconnected for a couple hours. I was not on my phone, using the internet or or any other devices. It felt great to disconnect and being able to appreciate the human interactions that I unfortunately don’t get to see as much because of studying. However, during the time I spent disconnecting, I … Continue reading “Disconnecting”

Last Friday, I disconnected for a couple hours. I was not on my phone, using the internet or or any other devices. It felt great to disconnect and being able to appreciate the human interactions that I unfortunately don’t get to see as much because of studying. However, during the time I spent disconnecting, I did watch a sporting event with my family. However, I still felt disconnected to the digital world because I enjoyed the presence of the different individuals that were around me.

Osteomalacia – Yesenia Nunez & Hannah Kaya

Assessment Physical findings Bone pain, tenderness to touch, bowing of the bones, and pathological fractures Physical deformities (spinal kyphosis and bowed legs) X-rays and Bone Scans Demineralization of bone Urine Excretion of calcium and creatine low Labs Low Calcium levels Low Phosphorus Moderately elevated ALP Mobility Limitations Pain and waddling gait due to physical deformities … Continue reading “Osteomalacia – Yesenia Nunez & Hannah Kaya”

screen-shot-2016-11-02-at-12-50-43-pmAssessment

  • Physical findings
    • Bone pain, tenderness to touch, bowing of the bones, and pathological fractures
    • Physical deformities (spinal kyphosis and bowed legs)
  • X-rays and Bone Scans
    • Demineralization of bone
  • Urine
    • Excretion of calcium and creatine low
  • Labs
    • Low Calcium levels
    • Low Phosphorus
    • Moderately elevated ALP

Mobility Limitations

  • Pain and waddling gait due to physical deformities
  • Risk for fractures and falls

Discharge instruction

  • Increasing doses of Vitamin D along with supplemental Calcium
  • Reduce caffeine, alcohol, cigarette, carbonated soft drinks to reduce the risk of fractures
  • Regular weight bearing exercise
  • Exposure to sunlight
  • If kidney disease is the cause, patient will need to take Calcitriol

Nephrotoxic Drugs

Tacrolimus is a immunosuppressant agent used to prevent organ rejection (kidney). This medication is nephrotoxic. Nursing implications: Monitor drug levels 1-3 months (7-20 ng/mL) after-1st year (5-15 ng/mL) Monitor signs of nephrotoxicity (elevated serum creatinine and decreased urine output) Be aware of other medications that the patient is taking that are also  nephrotoxic Work Cited: … Continue reading “Nephrotoxic Drugs”

Tacrolimus is a immunosuppressant agent used to prevent organ rejection (kidney). This medication is nephrotoxic.

Nursing implications:

  • Monitor drug levels
    • 1-3 months (7-20 ng/mL)
    • after-1st year (5-15 ng/mL)
  • Monitor signs of nephrotoxicity (elevated serum creatinine and decreased urine output)
  • Be aware of other medications that the patient is taking that are also ¬†nephrotoxic

Work Cited: Deglin, J. H., Vallerand, A. H., & Sanoski, C. A. (Eds.). (2016). Davis’s Drug Guide for Nurses (15th ed.) (version 19.2.2/2016.08.24)[Mobile Application Software]. Retrieved from¬†https://www.skyscape.com/apps/.

Lab Values

My favorite lab values are sodium and potassium! They are the easiest for me to memorize! My least favorite lab value is phosphorus. I have a hard time memorizing the normal range for phosphorus.

My favorite lab values are sodium and potassium! They are the easiest for me to memorize! My least favorite lab value is phosphorus. I have a hard time memorizing the normal range for phosphorus.

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