NRNP 6550 Week 7 i-Human Case Study Walter Sobchak

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  • NRNP 6550 Week 7 i-Human Case Study Walter Sobchak

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Primary Diagnosis: Chronic kidney disease

 

Status/Condition (Critical, Guarded, Stable, etc.): Stable Code Status: Full Code

 

Allergies: NKDA

 

Admit to Unit: Med/surg telemetry

 

Activity Level: BRP as tolerated

 

Diet: Renal/Low sodium

 

IV Fluids: None

  • Critical Drips (If ordered, include type and rate. Do not defer to ICU protocol.): None

Respiratory: Oxygen (If ordered, include type and rate.), pulmonary toilet needs, ventilator settings: Oxygen via NC to maintain saturation of 92%, titrate up to 6 lpm

Medications (include ALL, tx of primary condition, underlying conditions, pain, comfort needs, etc., dose and route):

  1. Furosemide 40mg IVP once (Sinha & Agarwal, 2018)
  2. Calcium gluconate 1g IVPB once
  3. Lisinopril 2.5 mg PO daily (Loutradis & Sarafidis, 2020)
  4. Amlodipine 2.5mg PO daily (Pugh et al., 2019)
  5. Protonix 40mg PO daily
  6. Acetaminophen 650 mg every 4 hours PRN mild pain or temp > 100.4 F
  7. Zofran 4mg IVP every 4 hours PRN nausea
  8. Nicotine patch transdermal daily
  9. Colace 100mg PO daily with 8 ounces of water, hold for loose stools
  10. Maalox 30cc PO every 4 hours PRN indigestion….. Continue

 

 

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