The RN is reviewing blood pressure readings for a group of pt’s. Which patient is
the highest risk for complications related to hypertension?
Middle- aged African American male who has a serum creatinine level of 2.9
Rationale: normal serum creatinine
men: .74-1.35
women: .59-1.04
What should be taught with a patient taking medications for hypothyroidism?
- Take in am
-No antacids - On empty stomach absorbs better
- 30 min before or 2 hours after food helps absorption.
- meds should be at therapeutic level to avoid depression
What can untreated hypothyroidism result in?
- Depression can result from untreated hypo
- falling/staying asleep difficult = avoid sedation
- frequent rest but stay action
What are the S/S of diverticulosis
- LLQ pain
- bowel pattern changes
- bloating
- fever
-N/V - Constipation
What Interventions are used for a patient taking allopurinol for gout?
- Increase fluid intake to prevent kidney stones
- increase movement
- avoid caffeine, alcohol, and dairy
- may take several weeks to work
- stop if rash develops.
- NO HIGH PURINE FOODS (organ meats, shellfish, fructose)
- avoid starting/ increasing med during active flare ups
- bone marrow depression
- bone marrow depression, vomiting, abd. pain
- Avoid starting/ increasing med during active flare up
- AFTER MEALS
what tests Glucose and gets the best result?
A1C should be greater than 7%
- Dip stick for ketones turns purple when ketones are present.
- type 1 complications, serum glucose is 250+, ketonuria in large amounts in urine
What are right sided heart failure symptoms vs left
Systemic
- congestion
- peripheral edema
- ascites
- JVD
- hepatomegaly
Lungs
- congestion
- dyspnea
- crackles
- fatigue
- pink/frothy sputum
what kind of exercise should someone with osteoarthritis do?
Low impact exercises
- yoga
-swimming
- small amounts of walking
what should you assess for a small bowl obstruction?
-Auscultate bowel sounds
- IV fluids will be given to replace depleted water, sodium, chloride and potassium
