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    Advanced Med-Surg Review

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    Renal Overview: * Renin-angiotensin aldosterone system (RAAS) regulates renal blood flow. * ACUTE RENAL FAILURE -rapid decline in renal function with progressive azotemia. * AZOTEMIA An excess of metabolic waste products in the blood Urea Nitrogen and Creatinine * OLIGURIA Urine Volume less than 400CC/24 hours for a non-trauma‚ non-surgical adult. * ACUTE TUBULAR NECROSIS (ATN) Clinical syndrome of ARF secondary to ischemia or toxic injury to the renal tubules * BUN

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    the retro-orbital on 10th day from animals and they were anesthetized using sodium phenobarbitone (60mg/kg). The serum was separated by centrifugation at 10000 rpm for 10 min and analyzed for biochemical parameters such as serum urea‚ uric acid and electrolytes. Serum urea was measured using the commercially available kit (Liquicheck AGAPPE Diagnostics LTD)‚ following the GLDH-Urease method (Tietz‚ 1976). The amount of creatinine in serum was estimated using Liquicheck AGAPPE Diagnostics commercial

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    the retro-orbital on 10th day from animals and they were anesthetized using sodium phenobarbitone (60mg/kg). The serum was separated by centrifugation at 10000 rpm for 10 min and analyzed for biochemical parameters such as serum urea‚ uric acid and electrolytes.Serum urea was measured using the commercially available kit (Liquicheck AGAPPE Diagnostics LTD)‚ following the GLDH-Urease method (Tietz‚ 1976). The amount of creatinine in serum was estimated using Liquicheck AGAPPE Diagnostics commercial

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    Drug Stdy

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    Effects: melena‚ gastritisHepatic Effects: Transient increases in aspartate aminotransferase (AST)‚alanine aminotransferase(ALT)‚ alkaline phosphatase and bilirubin can occur.Renal Effects: Increases in serum concentrations of creatinine and blood urea nitrogen (BUN) may be observed.Effect on the Central Nervous System: Headache‚ MalaiseLocal Reactions: pain‚ inflammation‚ thrombophlebitis and edema | Piptaz should not be added to blood products or albumin hydrolysates and should not be mixed with

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    not be a finding in AKI. DIF: Cognitive Level: Apply (application) REF: 1104 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 3. The nurse is planning care for a patient with severe heart failure who has developed elevated blood urea nitrogen (BUN) and creatinine levels. The primary collaborative treatment goal in the plan will be a. augmenting fluid volume. b. maintaining cardiac output. c. diluting nephrotoxic substances. d. preventing systemic hypertension. ANS: B The

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    Carson-Newman University Student_______ _______________ Department of Nursing Date ________________________ NURS 303L – Clinical Case Study Assignment Client Age __________ M F Admit Date__________________ Allergies__________________________________ Admitting Diagnosis __Hypertension______________________________________________________________________________________________ Activity Level__________________________________ Diet____________________________________________________________

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    Tables of Normal Values

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    Tables of Normal Values (As of January 2013) Note: Values and units of measurement listed in these tables are derived from several resources. Substantial variation exists in the ranges quoted as “normal” and may vary depending on the assay used by different laboratories. Therefore‚ these tables should be considered as directional only. Some values (e.g. hormones) vary by gender‚ age‚ time of day and condition (e.g. pregnancy) so a text on endocrinology should be consulted for complete data

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    GASTROINTESTINAL DISORDERS Below is your answer sheet. Please submit only the answer sheet next meeting. 1. A 3- year-old child is hospitalized because of persistent vomiting. A nurse monitors the child closely for A. Diarrhea B. Metabolic acidosis C. Metabolic alkalosis D. Hyperactive bowel sounds 2. A nurse is monitoring for signs of dehydration in a one year old child who has been hospitalized for diarrhea. The nurse prepares to take the child’s temperature and avoids

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    THE SIX RIGHTS OF DRUG ADMINISTRATION Right Drug Many drugs have similar spellings and variable concentrations. Before the administration of the medication‚ it is imperative to compare the exact spelling and concentration of the prescribed drug with the medication card or drug profile and the medication container. Regardless of the drug distribution system used‚ the drug label should be read at least three times: 1. Before removing the drug from the shelf or unit dose cart. 2

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    ASSESSMENT & CARE PLAN

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    ASSESSMENT & CARE PLAN CLIENT CASE STUDY #2 Student: Fall 2010 Client Initials: VC Age: 82 Gender: Female Date Admitted to Nursing Home: 12/14/07 Assessment Date: 12/3/10 1. HEALTH HISTORY Brief description of health history and reason in nursing home: VC has a history of malignant neoplasm of her large intestine which lead to her colostomy status. She also has a history of fracture and fall. She was admitted to the nursing facility secondary to her alzheimer’s diagnosis

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