Can anyone please help me out? I am racking my brain to come up with a nursing diagnosis for my patient. Her admitting diagnosis was acute renal failure. She was on tele in a sinus rhythm with a rate of 98. She had no edema an output of about 50 ml /hr lungs clear afebrile, no edema. basically she had none of the things you would expect to find in a renal patient. Her morning labs came back with a critical ca++ level of 5.7 we contacted the Dr. who ordered calcium gluconate stat. She became shaky , disoriented and had a seizure before we could get the calcium hung luckily I was keeping a close eye and was able to call a rapid response immediately. The only cardiac change was during her seizure she was sinus tachy at 102-110. Please help!!!!! Thanks