Hypotension Respiratory depression Lethargy drowsiness Bradycardia Hypoactive

Hypotension respiratory depression lethargy

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HypotensionRespiratory depressionLethargy, drowsinessBradycardiaHypoactive reflexesFlaccid paralysisTreatment- take away excess, if renal failure- dialysis, IV fluids with Lasix IV calcium is indicated to antagonize the neuromuscular and cardiovascular effects of magnesium; hemodialysis; loop diuretics A client diagnosed with CRF is receiving hemodialysis. The client is constipated. Which nursing intervention could complicate this client’s condition?A.increase dietary fiberB.Increase exerciseC.Consuming fluids within the client’s fluid restrictionD.Ingesting a laxative of magnesium citrate. Magnesium laxatives should not be taken by clients with renal impairment because they can result in hypermagnesemia. A nurse is planning care for multiple perioperative clients with electrolyte imbalances. Which actions should the nurse plan when caring for these clients. SELECT ALL THAT APPLY:A. Analyze lab data for serum electrolyte abnormalities.14
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Lecture Notes B. Encourage use of OTC supplements.C. Monitor I&OD. Initiate fall precautionsEducate regarding nutrientsTake baseline VS and monitor for changesNexium- IV push over 3 minsFluid volume excess- at risk- heart failure and kidney failure Physical appearance- edema (distal to proximal), JVD, crackles (lower lungs)-pulmonary edema, decrease o2sat, increase resp rate, increase HR- normal to tachypnicHR, normal to bounding pulse Treatment- diuretics (Lasix), dialysis (if kidney failure), fluid restrictionFluid volume deficit- loss of water and Na Treatment- PO water, Gatorade, or IV fluids Dehydration- loss of water (not Na)Labs- hemoconcentration- hypernatremia H&H increased, increased BUN (indicative of dehydration) BEST WAY TO DETERMINE FLUID BALANCE- WEIGHT1 kg = 1 L fluid 15
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  • Spring '16
  • Kim McCarron

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