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☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
– Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
– Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
– 80 to 100 mg/dL within 1 week with ARF
– Gradual increase with elevated serum creatinine over months to years for
– 180-200 mg/dL with (CRF)
■ Serum electrolytes
– Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
– Decreased hemoglobin
slow or difficult speech
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
• Do not cut patches to ensure appropriate
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.