I am a new Nurse in LTC. I have a question about your bowel regimen. If our residents have not had a bowel movement by the 3rd day they get 30ml of MOM. I was doing meds on this day and a resident that was due for MOM had a high Magnesium level that day. ( I only know cause I reported the labs to the doc that day. ( cant remember what her problems were, but doc just ordered repeat labs) Should she have had the MOM this day?
Another situation, a resident with kidney problems gets 40Meq of potassium everyday. He only gets lab workup 1x week. I am not comfortable giving potassium without knowing his most recent level. What do you all do in this situation?
What are some of the things I should be looking for in situations like this?