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A 72-year-old male is seen in his nursing home for a distended abdomen. He has a Foley catheter in place yet has not had any urine output in 16 hours. Renal ultrasound shows hydronephrosis. Creatinine is increased to 2.2 mg/dL. What would you suspect? You are a nurse on a medical-surgical floor. Labs drawn on your patient admitted from the nursing home with dehydration and malnutrition just came back and the calcium level is 6.8. Should you call the doctor? Normal calcium level is... A 79-year-old male presents to the ED with complaints of fatigue, weakness, confusion, numbness in his extremities, and abdominal fullness. He has a two-year history of constipation for which he took 1-2 16 oz. bottles of milk of magnesia daily with good results. Labs: Na 126, K 6.5, BUN 85, creatinine 4.8, Mg 9.4. Why are all his labs abnormal? What is your primary concern? 

          A 72-year-old male is seen in his nursing home for a distended abdomen. He has a Foley catheter in place yet has not had any urine output in 16 hours. Renal ultrasound shows hydronephrosis. Creatinine is increased to 2.2 mg/dL. What would you suspect?

You are a nurse on a medical-surgical floor. Labs drawn on your patient admitted from the nursing home with dehydration and malnutrition just came back and the calcium level is 6.8. Should you call the doctor?

Normal calcium level is...

A 79-year-old male presents to the ED with complaints of fatigue, weakness, confusion, numbness in his extremities, and abdominal fullness. He has a two-year history of constipation for which he took 1-2 16 oz. bottles of milk of magnesia daily with good results. Labs: Na 126, K 6.5, BUN 85, creatinine 4.8, Mg 9.4. Why are all his labs abnormal? What is your primary concern?
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font a 72 year old male is seen in his nursing home for a distended abdomenhe has a foley in place yet has not had any urine output in 16 hours renal ultrasound shows hydronephrosis creatini 33662

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2 mg/dL, the most likely suspicion would be urinary obstruction. The distended abdomen and lack of urine output suggest that urine is not able to flow freely from the kidneys to the bladder. This can lead to hydronephrosis, which is the dilation of the renal pelvis  Show more…

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A 72-year-old male is seen in his nursing home for a distended abdomen. He has a Foley catheter in place yet has not had any urine output in 16 hours. Renal ultrasound shows hydronephrosis. Creatinine is increased to 2.2 mg/dL. What would you suspect? You are a nurse on a medical-surgical floor. Labs drawn on your patient admitted from the nursing home with dehydration and malnutrition just came back and the calcium level is 6.8. Should you call the doctor? Normal calcium level is... A 79-year-old male presents to the ED with complaints of fatigue, weakness, confusion, numbness in his extremities, and abdominal fullness. He has a two-year history of constipation for which he took 1-2 16 oz. bottles of milk of magnesia daily with good results. Labs: Na 126, K 6.5, BUN 85, creatinine 4.8, Mg 9.4. Why are all his labs abnormal? What is your primary concern?
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