Acute Renal Failure NU270 Assignment 6.1 7/26/2012 Patients that are in acute renal failure have many obstacles that they are faced with. The nurse should follow evidence based interventions when caring for them. Electrolyte imbalance, blood loss, infection, and nutrition are just a few of the issues the nurse must be educated about. It is important for the nurse to impose every intervention available to reduce the risk of infection in the patient experiencing acute renal failure. “Make sure appropriate hand hygiene is used.
The recommended daily dosage is 1 or 2 paracetamol up to 4 times within 24 hours and should not be exceeded in a case it is medical advice should be seeked immediately. 2.2 Identify medication which demands the measurement of specific physiological measurements Statins (used to lower blood cholesterol) can raise liver enzymes. When somebody is put onto statins they usually perform liver function tests at the start and then periodically thereafter. Lithium (used as a treatment for bipolar disorder) may dampen the function of the thyroid gland, cause kidney damage or heart damage so the following tests need to be done; Liver function, annually. Thyroid function tests and calcium levels annually (risk of hypocalcaemia).
: wear gloves, offer a drink, use medication pot or dispensing device such as an inhaler or syringe. Check that the medication has been taken then sign the MARS sheet. Document and report and missed medication, inform my manager and contact NHS Direct or GP for advice. 2.1 Medications fit into four groups: *GAL-General Sale List *P-Pharmacy *POM-Prescription Only Medicines *CD-Controlled
Obtaining a comprehensive health history or full physical examination is unnecessary until the acute distress has resolved. A focused physical assessment should be done rapidly to help determine the cause of the distress and suggest treatment. Although family members may know about the patient’s history of medical problems, the patient is the best informant for these data. 2. When preparing the patient with a right-sided pleural effusion for a thoracentesis, how will the nurse position the patient?
The Army has a phrase for determining precedence in medevacs which has served me well in determining what is an emergency: “life, limb, or eyesight.” Second, immediate intervention is indicated to minimize or alleviate the dangers. Lastly, the patient must be incapable of giving consent with no legal surrogate available. A legal surrogate is someone that has a healthcare power of attorney, is a legal guardian, or a family member. (Baillie et al., 2010, p.48). I chose to write about case number three since I am familiar with crush injuries and the pre-hospital and surgical interventions indicated for them.
Patient safety risk is heightened when the tubing of intravenous medicine aren’t labeled. I along with approval from management decided to study this topic B. Identify a specific, measurable indicator to address this problem. The measurable indicator I chose to address this problem is the percentage of IV tubing found labeled by random audit. This was done via survey walking through every patient room on the unit.
The FDA requires that all commercials list the side effects and that the individual discuss with a doctor prior to trying said medication. Due to the drugs needing a prescription, an individual would not be able to take the medication unless a doctor has confirmed their disease and written a prescription. The individual may have the disease in question but by no means is the doctor required to give the advertised drug, there may be a drug in the same classification that
To determine financial responsibility the specialist needs to know what services are covered and are not covered under the patients plan. The patient is also explained that they will be billed whatever services the patient’s policy does not cover. Step 3 Check in patients –In step three the specialist will have the returning patient sign in, collect whatever necessary money from them co-payment or for an outstanding balance from a prior visit, copy or scan their current insurance card. Have the patient read and sign any new/important forms that pertain to the patient (authorizing any planned procedures and payments). Step 4 Check out patients – Even though the specialist is to give the patient all prescriptions, lab slip or referral paperwork they might need and set up a follow up appointment if necessary.
According to Shields and Werder (2002) , ‘adequate preparation of the anaesthetic equipment, resources and patient is essential to the provision of safe anaesthetic care.’ When the whole team was ready the patient to be brought down to the anaesthetic room. We sent for her and when she arrived we introduced ourselves and we asked her a few questions such as she is allergic to anything, is she have any internal metal work and the last time they ate and or drink. All her answers didn't raise any concerns. We went through her consent form with her, if this case involved a child we would have their parents there and if it
Controlled Drugs (CDs) are prescription only medicines, defined as ’potentially addictive’ and therefore are subject to additional legal requirements under the Misuse of Drugs Act 3. Explain how and why policies and procedures or agreed ways of working must reflect and incorporate legislatives requirements. The policies and procedures are put in place to make sure that legislation is being followed so that all people in the setting, staff and the people who need care are being cared for are safe, all needs are being met, inclusive practice and diversity is being followed out and that the setting is staying within the law. They must reflect on legislation so that the policies and procedures are correct and are the correct way of doing things. For example if a health and safety procedure was put in place and was not in line with legislation then this could cause the setting to get in trouble