Question

Question 7 10 pts Case Study Progress Chart View Nephrology Orders Hemodialysis 3 times a week. To be scheduled with outpatient dialysis center. Restrict fluids to 1800ml per day Renal diet Epoetin alfa IV three times a week – give following dialysis Blood glucose check before meals and at bedtime Regular insulin using sliding scale Sevelamer hydrochloride 400mg with meals Losartan 50mg by mouth once daily Multivitamin with iron one tab by mouth once daily Daily weights Identify two priory nursing diagnoses for George. Do not use “at risk” diagnoses. Write them out completely as 3 part diagnoses.

Answer 1

1) FLUID VOLUME EXCESS related to chronic renal failure manifested by weight gain and edema.

A patient suffering from chronic renal failure is always at risk of increased fluid volume in body. Such excess fluid results in increased cardiac workload. To manage this hemodialysis is recommended. Restriction of fluid intake, daily monitoring of weight gain will help manage this condition.

2) IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENT related to diseased condition manifested by altered glucose metabolism.

Clients suffering from renal failure tend to develop anorexia that results in inadequate nutrition and reduces the nutrient stores of the body. Adequate renal diet, multivitamin, Sevelamer tablets can manage the stated condition.