Question

Use ATI Active learning Template System disorder to demonstrate Chronic renal failure

Answer 1

Alterations in Health (Diagnosis) sudden cessation of kidney function Pathophysiology Related to Client Problem occurs when blood flow to the kineys is significantly compromised Health Promotion and Disease Prevention at least 2L fluid daily Stop Smoking Healthy weight ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings ☐Renal vascular obstruction☐Shock☐Decreased cardiac output causing decreased renal profusion☐Sepsis☐Hypovolemia☐Peripher al vascular resistance Laboratory Tests Serum creatinine=increase BUN=increase Urine specific gravity=elevate Serum electrolytes Hgb & Hct= decrease UA ABG=metabolic acidosis cardio:fluid overload (dependant/generalized edema) resp:crackles, decreased O2, SOB renal: Scant to normal or excessive urine output neuro: lethargy, muscle twitching, seizures Integumentary: Dry skin and mucous membrane Diagnostic Procedures Xray Ultrasound CT Kidney biopsy Nuclear medicine tests PATIENT-CENTERED CARE Nursing Care Monitor for hypotension and tachycardia.☐Prevent prolonged episodes of hypotension and hypovolemia.☐Monitor fluid intake and output (oliguria).☐Prepare for fluid challenge and diuretics with manifestations of azotemia and fluid volume deficit.☐Review laboratory values (BUN, creatinine, electrolytes, hematocrit).☐Observe for lethargy Therapeutic Procedures -Continuous kidney replacement -Hemodialysis -Peritoneal dialysis ACTIVE LEARNING TEMPLATES -Implement potassium, phosphate sodium, and magnesium restrictions if prescribe -High protein diet Complications Medications -IV fluid therapy -Diuretis furosemide ehacrynic acid -Calcium channel blocker -sodium polystyrene sulfonate -sorbitol Client Education coughing and deep breathing exercises, if lethargic -fluid retention -pulmonary edema -hypertension -hyperkalemia Interprofessional Care Dietitian Nephrology Therapeutic Procedure