09.02 Acute Tubular Necrosis for CCRN Review
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Outline
Nursing Points
General
- Acute tubular nephrosis
- Emergency
- 50% will die
- 25% need hemodialysis
- 25% recover
- Ischemia
- Hemorrhage
- Burns
- Sepsis
- Heart failure
- Transfusion reactions
- Nephrotoxicity
- Ingesting heavy metals
- Medications
- Street drugs
- Rhabdomyolysis
- Radiocontrast
- Stages
- Oliguric
- Lasts 10-17 days
- Decreased urine output
- Increase in labs:
- BUN
- Creatinine
- Potassium
- Fluid overload
- Polyuric
- Diuretic stage
- Not an indication of improvement
- Proximal tubule is necrotic
- Increase in labs
- Urine output
- BUN
- Creatinine
- Decreased labs
- Fluid
- Potassium
- Lasts 2weeks to 3 months
- Recovery Stage
- Lasts 3 months – 1 year
- Want kidneys to regenerate
- Oliguric
- Emergency
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Medsurg
Concepts Covered:
- Cardiac Disorders
- Integumentary Disorders
- Integumentary Disorders
- Basics of NCLEX
- Test Taking Strategies
- Urinary System
- Disorders of Pancreas
- Renal
- Neurological Emergencies
- Emergency Care of the Trauma Patient
- Neurological Trauma
- Emergency Care of the Neurological Patient
- Neurological
- Musculoskeletal Trauma
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Multisystem
- Shock
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Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
09.02 Acute Tubular Necrosis for CCRN Review
Nursing Care Plan (NCP) for Stroke (CVA)
Stroke for Progressive Care Certified Nurse (PCCN)
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
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07.08 Basilar Skull Fracture for CCRN Review
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
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Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Neurological Fractures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Skull Fractures
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Diabetic Ketoacidosis (DKA) Case Study (45 min)