What is going on with mr stinson physiologically

Reference no: EM133569976

1) What additional nursing assessments should be performed?

2) What diagnostic or lab tests would you expect the provider to order?

Upon further questioning, the patient reports he normally gets dialysis Monday, Wednesday, Friday, but that he skipped dialysis yesterday because he was "not feeling well". He has +2 pitting edema in his legs. Vital signs are as follows:

HR 102 RR 24

BP 153/97 SpO2 90%

The patient's labs result and show the following:

BUN 62 mg/dL Na 134 mg/dL

Cr 3.9 mg/dL Ca 7.8 mg/dL

GFR 13 mL/min/m2 Phos 5.0 mg/dL

K 6.3 mEq/L Mg 1.6 mg/dL

Gluc 224 mg/dL H/H 8.2 / 30%

pH 7.32 pCO2 32 HCO3- 16

BNP 247 pg/mL

3) Interpret these lab results and explain their meaning.

4) What is going on with Mr. Stinson physiologically?

The nephrologist is consulted and determines that the patient needs hemodialysis. As soon as possible. The charge nurse of the dialysis unit is working to make a bed for him and will call back as soon as one is available, hopefully within the hour.

5) What do you, the nurse, need to consider and assess for Mr. Stinson PRIOR to sending him to dialysis?

Mr. Stinson goes to hemodialysis, where they are able to pull of 3 L of fluid. He tolerates the procedure well and returns to his room.

6) What would you need to assess for Mr. Stinson AFTER he returns from Dialysis?

7) What are some important patient education topics for Mr. Stinson before discharge?

Reference no: EM133569976

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