Critical Pathway: Case Study of Chronic Renal Failure Advanced Pathophysiology NURS 5104 October 4, 2013 Critical Pathway: Case Study of Chronic Renal Failure I. Introduction Mr. P. J., a 38-year-old African American male, presented to the Emergency Department by the rescue squad team, with a six day old complaint of increased swelling of the bilateral lower extremities, unusual weight gain, and a feeling of ‘I can not breathe’ per patient. Patient was sent as a direct admit to the
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not visibly diagnosed. In the early stages of CKD symptoms can include frequent urination and hypertension; as CKD progresses the symptoms can include headaches, joint pain, lower back pain, edema and diabetes. Chronic Kidney disease is the loss of renal function over a period of time. It is usually triggered by another disease, such as diabetes or cancer, or by hereditary onset. According to U.S. Pharmacist, there are 5 stages to Chronic Kidney Disease. Stage one is slight reduction in function and
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There are five stages of CKD: Stage 1 has kidney damage but has a GFR ≥ 90. Stage 2 has mild damage and a GFR of 60-89. Stage 3 has moderate damage and a GFR of 30-59. Stage 4 has severe damage and a GFR of 15-29. Stage 5 is also known as end stage renal disease (ESRD), this is kidney failure with a GFR of ≤ 15 and theses patients are typically on dialysis or in need of an immediate transplant. The leading cause of CKD is diabetes. Hypertension is also a major cause. Since most DM patients have HTN
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International Classification of Diseases Coding II Chapter 17 – 27 Chapter 17: 1. Which of the following anemias is caused by a failure of the bone marrow to produce red blood cells and may be congenital or acquired? A. Bone marrow deficiency anemia B. Sickle-cell anemia C. Aplastic anemia D. Thalassemia 2. Which of the following terms refers to either a reduction in the quantity of hemoglobin or a reduction in the volume of red blood cells? E. Anemia
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Nursing Assessment & Diagnosis | Planning & patient centered goals | Nursing Interventions | Scientific Rationale | Evaluation | 1) Diagnosis: Excess fluid volume r/t decreased urinary output Assessment: B.K is an 88 year-old female presented with acute renal failure with urinary retention. Patient was admitted into Lehigh Regional on July 5th, 2013.Previous history: Diabetes, HTN, UTI, skin cancer, TIA. Subjective: Patient states, “I feel a bit fatigued in the evenings. My doctor said
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of nurses in the family assessment and how the task can be done. Based on Gordon's principle of functional health pattern, the paper provides a summary of the findings of the health patterns of the involvement of the family with the inclusion of nursing diagnosis of each assessment offered to them. The use of this technique creates a standard systematic approach to collect information and data analysis considering the nurses determine to consider the aspects of health management, sexuality, sleep/rest
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CaseGermaine ShannonUniversity of Central FloridaI was called to the emergency room by one of the nurses working that night. A patient was being discharged home by the emergency room physician, and the patient’s family had requested to speak to the nursing supervisor. When I arrived to the emergency room, the nurse that was taking care of the patient approached me. She pulled me aside, and voiced her concerns. The patient in bed three was sick with a respiratory infection. He had been given intravenous
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Renal hypertension is an elevated blood pressure caused by kidney disease. It is caused by a narrowing in the artery that delivers blood to the kidney. Renal hypertension usually causes no symptoms. The narrowing in the arteries can't be felt. Unless it's dangerously high, high blood pressure causes no symptoms either. Symptoms of severely elevated blood pressure include: • Headache • Confusion • Blurry or double vision • Bloody (pink-colored) urine • Nosebleed The vast majority of people with
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Renal Disease Study Guide What is renal disease? Do all of the nephrons need to be functional within the kidney? What are the testing parameters needed to check for renal disease? When does renal disease progress to renal failure? When are changes to USG seen during renal failure? Does it increase or decrease? What are some signs of renal insufficiency? What is azotemia? What is pre-renal azotemia? What are some of the reasons that renal azotemia occurs? What are some
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be activated Increase release of ADH Increase aldosterone level Peripheral vacoconstriction Na and water retention s/sx: increased BP Nephrotoxicity /Nephropathy Increase water reabsorption by renal tubule Dilation and enlargement of heart chambers Stretching of muscle fibers of the heart Increase contraction (Frank-starling law) Increase O2 requirement to perform work Presence in the skin/skin changes
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