A patient with multiple myeloma is receiving intravenous hydration at 100 ml/hr. Which of the following assessment findings indicates a positive response to the intervention?
Creatinine level is 1 mg/dl
• In people with multiple myeloma, renal failure is a major concern due to hypercalcemia and hyperuricemia. Checking the creatinine level will provide the most accurate measure of renal status. The normal range of creatinine level is 0.6-1.3 mg/dL (male), 0.5-1.1 mg/dL (female).
• Multiple myeloma is a cancer that affects the plasma cells of the bone marrow, causing abnormal accumulation of plasma cells and antibodies in the bone and other organs. Hydration is very important in patients with multiple myeloma to prevent renal damage that can result from excessive calcium and uric acid in the blood.
• Weight gain is associated with renal status as an indirect indication of functioning (weight gain will be seen if the patient is retaining fluid instead of excreting it), but is not the best measurement of the degree of renal damage.
• The WBC and the respiratory rate are unrelated to the issue of hydration in patients with multiple myeloma.