Clinical Judgment In Safe Medication Administration: Priority

CLINICAL JUDGMENT IN SAFE MEDICATION ADMINISTRATION: PRIORITY NURSING ACTIONS, ADVERSE EFFECTS, CONTRAINDICATIONS, AND PATIENT EDUCATION IN HIGH-RISK DRUG THERAPY Patient identifiers -Medical record number -home telephone number What lab values should a nurse monitor for a patient with chronic renal failure? Urinalysis Hematuria, proteinuria, and alterations in specific gravity Serum creatinine - Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal failure (ARF) - Gradual increase over months to years for chronic renal failure (CRF) exceeding 4 mg/dL Blood urea nitrogen (BUN) - 80 to 100 mg/dL within 1 week with ARF - Gradual increase with elevated serum creatinine over months to years for CRF - 180-200 mg/dL with (CRF) Serum electrolytes - Decreased sodium (dilutional) and calcium, increased potassium, phosphorus, and magnesium Complete blood count (CBC) - Decreased hemoglobin What food should you increase when taking Lasix?-increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice) Patient reports IV discomfort, what is your first action? color and temperature Sumatriptan (treats migraine headaches) adverse effect pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw slow or difficult speech Know about Transdermal patch - Apply at the same time