Published
First you must know what osmotic diuresis is.........Osmotic diuretics
What diuretics do and how they work.....https://www.google.com/search?q=osmotic+diuretics+for+increase+intracranial+pressures&ie=utf-8&oe=utf-8&aq=t&rls=org.mozilla:en-US:official&client=firefox-a
What does an elevated serum osmo mean and what side effects to the patient can it cause?
Which lab would be an indicator of extreme dehydration?
So if your patient is being treated with an osmotic diuretic......
Than you for reading.
Sorry I did not explain myself very well. After knowing how mannitol works, and what those set of lab. values mean.....Is the serum osmolality value by itself enough supportive data to keep treating the patient with mannitol or would you also consider creatinine clearance and serum sodium? If the patient has an aceptable value of serum osmolality does that fact necessary mean the Na+ and creatinine clearance are within normal values? My main concern is with kidney failure.
Thank you again
Is this the whole question?
Then the links I posted answered your question. If this patient is getting this therapy which labs would the nurse look for?The following laboratory results are received for a patient being managed with osmotic diuretics for increase intracranial pressures. Which of the following laboratory results should the nurse be concerned with? Select all that apply:
- Sodium level
- Creatinine clearance
- Serum osmolality
- Sedimentation rate
You keep treating the patient do the desired effect....a normalized ICP (intercranial pressure), or abnormal lab values. Osmotic diuretics are also ordered in the presence of renal failure.....but the question is asking what labs will the nurse watch carefully while this patient is on the therapy.....what labs will be disturbed by diuresis?
TudianRibot
3 Posts
Guys help me out:
The following laboratory results are received for a patient being managed with osmotic diuretics for increase intracranial pressures. Which of the following laboratory results should the nurse be concerned with? Select all that apply:
I think is A,B,C. Some students think is C b/c they believe serum osmolality alone is an indicator of creatinine clearance and Sodium level. What if the serum osmolality is 310(they recommend up to 320 to decrease ICP and avoid renal failure) but the patient has a very low creatinine clearance, would you still manage him/her with osmotic diuretics(mannitol in this case)?
Thank you for reading