hemodialysis pharmacological considerations
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Dialyzed meds (water soluble). Hold until come back from dialysis
-Non-dialyzed meds (fat-soluble)
Call pharmacy to check what meds to hold
Thrombotic thrombocytopenia purpura labs/ diagnostics
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platelets low
,PD drainage and assessment
Give this one a try later!
Drain it through a tube. Measure how much came out. Want more fluid than
what started with because want to get toxins out.
o An output less than what started with, NEED further investigation.
Normal drain should look clear, yellowish.
o Never cloudy! This means infection. Peritonitis. Abdomen is hard, rigid,
and board-like.
First few times can be a bit bloody (pink tinge). If it gets darker, bright, need
evaluation.
Immune thrombocytopenia purpura signs/ symptoms
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Mucosal or cutaneous bleeding, epistaxis, gingival bleeding, petechiae,
purpura, ecchymoses,
weakness, fatigue, fainting, dizziness, tachycardia, abdominal pain,
hypotension
renal/ureter stone diagnostics
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, -Noncontrast CT (because they aterm-44bsorb more radiation and can be
the cause of the AKI- intrinsic).
-Blood work - calcium, uric acid highterm-44
-24-hour urine collection - to accurately measure urine calcium, uric acid
among others (nursing consideration)
· Don't use the first urination of the day because very saturated. Keep it on
ice.
-When stones are recovered, analysis may be done to determine
composition
Strain urine to catch it.
RBC color
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Hypochromic= pale
normochromic= normal color
hyprchromic= dark red
Immune thrombocytopenia purpura
Give this one a try later!
Autoimmune abnormal destruction of circulating platelets
Most common acquired thrombocytopenia
Anemia of Chronic Disease treatment
Give this one a try later!
, Treat associated disease, nutritional support, Epogen (Procrit, given to
patients with end stage kidney disease)
Transfuse is necessary
MCHC range and indication
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32-36; Mean Cell Hg Concentration; COLOR
aplastic anemia labs/ diagnostics
Give this one a try later!
Hgb/WBC/
platelets low, low reticulocyte count, increased yellow marrow in bone
marrow
Thrombotic thrombocytopenia purpura
Give this one a try later!
Give this one a try later!
Dialyzed meds (water soluble). Hold until come back from dialysis
-Non-dialyzed meds (fat-soluble)
Call pharmacy to check what meds to hold
Thrombotic thrombocytopenia purpura labs/ diagnostics
Give this one a try later!
platelets low
,PD drainage and assessment
Give this one a try later!
Drain it through a tube. Measure how much came out. Want more fluid than
what started with because want to get toxins out.
o An output less than what started with, NEED further investigation.
Normal drain should look clear, yellowish.
o Never cloudy! This means infection. Peritonitis. Abdomen is hard, rigid,
and board-like.
First few times can be a bit bloody (pink tinge). If it gets darker, bright, need
evaluation.
Immune thrombocytopenia purpura signs/ symptoms
Give this one a try later!
Mucosal or cutaneous bleeding, epistaxis, gingival bleeding, petechiae,
purpura, ecchymoses,
weakness, fatigue, fainting, dizziness, tachycardia, abdominal pain,
hypotension
renal/ureter stone diagnostics
Give this one a try later!
, -Noncontrast CT (because they aterm-44bsorb more radiation and can be
the cause of the AKI- intrinsic).
-Blood work - calcium, uric acid highterm-44
-24-hour urine collection - to accurately measure urine calcium, uric acid
among others (nursing consideration)
· Don't use the first urination of the day because very saturated. Keep it on
ice.
-When stones are recovered, analysis may be done to determine
composition
Strain urine to catch it.
RBC color
Give this one a try later!
Hypochromic= pale
normochromic= normal color
hyprchromic= dark red
Immune thrombocytopenia purpura
Give this one a try later!
Autoimmune abnormal destruction of circulating platelets
Most common acquired thrombocytopenia
Anemia of Chronic Disease treatment
Give this one a try later!
, Treat associated disease, nutritional support, Epogen (Procrit, given to
patients with end stage kidney disease)
Transfuse is necessary
MCHC range and indication
Give this one a try later!
32-36; Mean Cell Hg Concentration; COLOR
aplastic anemia labs/ diagnostics
Give this one a try later!
Hgb/WBC/
platelets low, low reticulocyte count, increased yellow marrow in bone
marrow
Thrombotic thrombocytopenia purpura
Give this one a try later!