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N370-03: Renal

Interventions, Medications & Treatment pt. 2

InterventionProblem
Lower; higher After kidney transplant, we administer drugs at a (lower/higher) dose for maintenance and (lower/higher) dose for rescue during rejection.
Schedule; dose; stop; interactions It's critical for kidney transplant patients to adhere to a consistent technique which means they have to follow the same ______ & same _____, can't _______ without provider advice, and they need to be screened for _____ (drugs, foods, OTC, supplements).
St. John's Wort We need to screen transplant patients for use of _______ as it interacts with CYP450/Cyclosporine -> alters the way drug is broken down -> Cyclosporine decreases (SUB to SUPRA)-> inc risk for transplant rejection
BPH We have to utilize a seven question score, PSA (blood test: inc = swelling), USN (size measurement), urograms (see flow of urine from ureter to bladder to urethra) w/ post-void scans to diagnose _______.
Alpha blockers; 5-alpha-reductase inhibitors; resection of the prostate For BPH patients, we anticipate to administer _____ to relax smooth muscle of the prostate and/or ______ to shrink gland overtime (6-12 mos). But if meds are not affective, __________ must be performed (uroLift, laser, TURP).
Continuous Bladder Irrigation (CBI) During TURP, it is important that we utilize _________ to monitor/remove/prevent clots from obstructing the flow. (Has 3 lumens. -> first for isotonic axb sol. enters bladder to flush out, second for anchoring with bulb inflation port, third for bag)
Pink tinged blood; clots; post; irrigating TURP bag collects residual fluid and blood -> EXPECT ________. But make sure there are NO ______ as it can cause ______-renal AKI. Hence, we check patency by ____ to rule out cath obstruction from clots when output's inadequate.
Manual, open, aseptic irrigation Prostatectomy loss of patency will require ______________.
NO clots/catheter obstruction; kink tubes; belladonna & opium If pt is experiencing bladder spasms, we need to ensure ______ or ______. AFTER ruling out cath obstruction by irrigation, we can administer rectal suppositories: ______ & _____ (B&O)
IV NS; mucomyst; sodium bicarbonate For contrast prophylaxis, we administer _____ & ______ BEFORE CT while we administer _____ AFTER CT (for acidosis).
Dec; anemia ESRD can cause (dec/inc) in EPO which may cause ______ -> so we can give synthetic EPO.
Waste During a collection of 24hr specimen, ______ the first void to make sure the next one is the beginning of the 24hr period (esp for GFR).
4-8 We know that the normal urine pH is ______.
Created by: yortiz
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