Question

asthma,or copd,or empysema, or UTI, or pyelonephritis,or nephrotic syndrome,or acute kidney injury, or hemolytic uremic syndrome, or pyloric stenosis, or meckel diverticulum, or intussusceptio, or gerd, small intestine obstruction, or gastritis

Develop a plan of care for a fictitious patient who suffers from any of the conditions listed in your textbook from Chapters 36-37 (Pulmonary), 39-40 (Renal), or 42-43 (Digestive). The case study should include the following: Patient presentation, Etiology, Risk factors, Clinical manifestations, Diagnostics, Complications, Treatment plan, Discharge teaching This should be in the form of a power point presentation . .Include scholarly references to support data Collaborate with another member of the health care profession, which may include: another nurse, pharmacist, physical therapist, physician, or other primary care provider. . Include one paragraph discussing how you collaborated with your chbosen health care professional. Include one paragraph discussing your insights on what was learned from this collaboration .

Answer 1

A fictitious patient suffering from acute kidney injury or acute kidney failure

A 75 year ,male patient presenting with complaints of decreased urine output, thirst,fatigue ,nausea,vomiting ,headache,pedal edema.He is a known case of diabetic,hypertensive, smoker, alcoholic,using OTC medication frequently.He has an uncontrolled sugar level due to poor food habits,zero activity . Investigation revealed a ruse in Sr.creatinine and potassium

Acute kidney injury is a sudden insult to the kidney leading to decrease blood supply to the kidney tissues

ETIOLOGY:

• Diabetes
• Hypertension
• Smoking
• Alcohol
• Age (above 60)
• Life style (food,exercise )

RISK FACTORS

• Poor management of medical conditions
• Age leads to decrease glomerular filteration rate
• Gender

CLINICAL MANIFESTATION

• Decrease in urine output
• Nausea and vomiting
• Tiredness /fatigue
• Headache
• Increased thirst

DIAGNOSTICS

• Blood investigation
  • Elevated Sr.creatinine
  • Elevated potassium
• Monitoring urine output
• Ultrasound to rule out any underlying cause

COMPLICATION

• Metabolic acidosis
• Chronic kidney diseaee in future
• Pulmonary edema
• Hyperkalemia

TREATMENT PLAN

• Medication
  • Diuretics can increase the urine output by excreting the accumulated fluid in the body
  • Correction of potassium
• Fluid replacement therapy to prevent dehydration
• Dialysis if Sr. Creatinine is very high
• Diabetic control

DISCHARGE TEACHING

• Strict fluid intake as per the order of physician
• Monitor urine output
• Maintain an intake and output chart
• Follow up as per order
• Take medication as per order
• Weigh yourself daily
• Good control of DM,HTN
• Can do exercises
• Report immediately in case of hematuria,headache, pain,weight loss,night sweats,fever

The nurse plays a key role in the treatment of this patient from monitoring to administration and ruling and preventing complications in th patient.They can be collaborated easily and with minimal restrictions as they are accessible both to the patient and the relatives along with the interdisciplinary team in the treatment plan

Discussion with a nurse gives a brief knowledge on how to take care of a patient in acute kidney injury and helping the Pati ent yo rd gain his normal functions with medical help.