Author: Y. Esenianunez

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.

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.

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.

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
• 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

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
• 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

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
• 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

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/.

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/.

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/.

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.