Question

Del 86, The nurse should monitor which lab results to assess kidney damage? and MISCELLANEOUS 87. Patient teaching for herbal supplements should emphasize that they may adversely with other medications. 88. Patient teaching regarding birth control therapy? a. Risks? b. Missed Pill? c. Drug interactions with How is it administered? 89. What is silver sulfasiazine (Silvadine) used for?

Answer 1

86)Ans:The nurse should monitor ACR(albumin to creatinine ratio) & GFR(glomerular filtration rate) lab report to assess kidney damage.

ACR(albumin to creatinine ratio) report indicate how much albumin(a type of protein) should be there in urine, generally 20 mg a day, more than that result into possibility of side effect like kidney damage etc.

GFR(glomerular filtration rate) determine what stage of kidney disease you have, generally our muscle tissue produce waste material in your body like creatinine ,how much creatinine available in your body should be used to count glomerular filtration rate. Normal value of GFR is 90 to 120 ml /min/173m2.older people having lower GFR value due to kidney damage.

87)Ans : Patient teaching for herbal supplement should emphasize that they may be adversely with other medicine.

Example: ginger that is herbal supplement,should not be given with nifedipine ,because it slow down blood clot and increase the chances of bleeding.

Garlic should increased the effect of warfarin and slow down the blood clotting.

88)Ans: Risks: There is possibility that the person should may risk of suffer from following disease if he adopt birth control therapy,(include contraceptive pills etc)

A) cardiovascular disease like blood clots, deep vein thrombosis etc

B) there in increased in blood pressure

C) benign liver tumer

D) some type of cancer etc

Missed Pill: There is possibility of pregnancy if the patient missed the pill,these result due to releasing in egg (ovulation) for fertility.

Drug interactions: contraceptive pill stop the egg from leaving the ovary but some medication like carbamazepine ,phenytoin, oxcarbazepine, felbamate etc should increase the break down of the hormone( estrogen,progestin) .

89) Ans: silver sulfasiazine is a topical antibiotic , it is generally available in cream form , it is generally apply in wound infection, second and third degree burn.it should not be used in viral infection like common cold etc, These antibiotic should be work by killing the bacteria or prevent it's growth.

It should be softly apply on infected part without friction,after apply it should not be rubbed,it should not be apply on the sensitive part like eye .it should not be taken internally.