Acute renal failure case study nursing. Acute Renal Failure 2022-12-18

Acute renal failure case study nursing Rating: 9,6/10 1196 reviews

Acute renal failure (ARF) is a sudden and potentially life-threatening condition that occurs when the kidneys are unable to filter waste products from the blood. It can be caused by a variety of factors, including infections, kidney disease, and certain medications. ARF requires immediate medical attention and may require hospitalization.

A case study of a patient with ARF can provide valuable insight into the nursing care required for this condition.

One example of a patient with ARF is a 65-year-old male with a history of diabetes and hypertension. He presents to the emergency department with complaints of fatigue, nausea, and decreased urine output. Upon assessment, the patient is found to have elevated blood pressure, elevated blood glucose levels, and azotemia (elevated levels of nitrogen-containing waste products in the blood).

The patient is immediately started on intravenous fluids and medications to control blood pressure and blood sugar levels. The medical team also orders laboratory tests to assess kidney function and identify the cause of the ARF. In this case, the patient's ARF is found to be caused by a kidney infection.

As a nurse caring for this patient, it is important to closely monitor vital signs, fluid and electrolyte balance, and urine output. The patient may need to be placed on dialysis to support kidney function if the ARF is severe or prolonged. The nurse should also be aware of any potential complications, such as fluid accumulation or electrolyte imbalances, and take steps to prevent or manage these complications.

In addition to providing medical care, the nurse should also provide emotional support to the patient and their family. This may include explaining the patient's condition and treatment plan, answering questions, and addressing any concerns the patient or family may have.

Overall, the care of a patient with ARF requires close collaboration between the medical team and the nursing staff. By providing timely and effective medical care and emotional support, nurses can play a vital role in helping patients with ARF recover and manage their condition.

End Stage Renal Failure Case Study

acute renal failure case study nursing

To reduce the stress on the kidneys. ESA has proven benefits in reducing blood transfusion and increasing quality of life For Clients receiving Darbepoetin, Haemoglobin should be monitored monthly to avoid overshooting the target and efficiency of the treatment. Lorem ipsum dolor sit a amet, conse gue Fusce dui lectus, congue vel l gue vel laoreet ac, dictum vitae odio. Aspirin normally use as analgesic, antipyretic, anti-inflammatory and anti-platelet agents. Provide adequate ventilation in the room.

Next

Acute Renal Failure Nursing Diagnosis and Nursing Care Plan

acute renal failure case study nursing

This paper will discuss the basic pathophysiology of acute renal failure, including its cause, disease mechanisms, symptoms, some of the treatments and pharmacological therapies. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Any medical student can tell you that, so I am going to actually do that. Examples of intrarenal causes are prolonged renal ischemia, nephrotoxic agents, and infectious processes. Hypoalbuminemia facilitates the crystallization of medications because there is more free drug present in blood and therefore more free drug filtered.

Next

Acute Renal Failure Case blog.sigma-systems.com

acute renal failure case study nursing

Outcomes The AACN Synergy Model measures nursing outcomes based on the dimensions of nursing practice. I assume that this case is not sulfadiazine-induced acute renal failure, since the crystals are not described as organizing in rosettes. This essay will be discussing about a Haemodialysis patient, Kathy Gill name changed for confidentiality and privacy purpose , an indigenous lady with End Stage Renal Failure, secondary to diabetic nephropathy. The two primary forms are rare genetic disorders inducing abnormalities in glyoxalate metabolism. Ethylene glycol itself actually is not toxic.

Next

Acute Renal Failure Nursing Care and Management: Study Guide

acute renal failure case study nursing

Dialysis Acute renal failure can be treated by intermittent dialysis, peritoneal dialysis, or continuous renal replacement therapy CRRT. The platelet adhesiveness may be affected by uremia which may cause gastrointestinal bleeding that can be seen in patients experiencing renal failure. Monitor electrolytes, particularly potassium levels. High levels of ketones in the blood cause an increase in blood acidity; this consequently makes the kidney to overwork to regulate blood acidity. Her experience spans almost 30 years in nursing, starting as an LVN in 1993.

Next

Case Study 30

acute renal failure case study nursing

Teach deep breathing exercises and relaxation techniques. Hematuria may be present in patients with ARF. Waste products such as urea and creatinine cannot be excreted. Respiratory Dyspnea may result from the decrease in oxygenation either from associated anemia or from fluid volume overload and pulmonary edema associated with ARF. Australian Medicines Handbook 2013, viewed on July 2014. Kathy receives this drug due to her past history of coronary artery disease.

Next

A Case of Acute Renal Failure

acute renal failure case study nursing

This would also not account for crystalluria, so we can eliminate this possibility. Changes in the potassium level should be monitored especially the presence of hypokalemia or low potassium level. Intravenous fluid for inadequate blood volume can be given to an ARF patient as needed. The most important element that they filter is blood plasma. Many patients who are hemodynamically unstable do nottolerate intermittent dialysis as they often become hypotensive during treatment.

Next

[Solved] Acute renal failure case study. ARF case study Client Profile Ms....

acute renal failure case study nursing

Prevent and treat shock promptly with blood and fluid replacement. However, later, more needle-like crystals are seen Clinically, ethylene glycolic intoxication is described as presenting in three stages. All phases of ARF exhibit an increase in creatinine. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nursing Made Incredibly Easy! Monitor central venous and arterial pressures and hourly urine output of critically ill patients to detect the onset of renal failure as early as possible.

Next

Kidney Case Study

acute renal failure case study nursing

As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. This enclosed collection of microorganisms, identified as a biofilm, increases resistance to antimicrobial, immunologic, and chemical attacks. The diuresis period is marked by a gradual increase in urine output, which signals that glomerular filtration has started to recover. As a result, more phosphorus is lost by the body through urination Chapman, 1980. Asepsis is essential with invasive lines and catheters to minimize the risk of infection and increased metabolism. Readings of less than 1% indicate prerenal problems, higher than 1% reflect intrarenal disorders.

Next

Renal Failure Case study

acute renal failure case study nursing

Rifle Criteria The RIFLE criteria Thurman, 2009 is evidence-based practice tool used for the diagnosis of ARF. Dirkes 2016 article explains: Acute renal failure ARF was used in the past to describe any kind of kidney failure. In the meantime, he contacted a nephrologist, an internal medicine physician specializing in disorders of the kidney. He has developed urinary retention and has been catheterizing himself at home for approximately one week with the foley catheter he pulled out of the trash at his last emergency room visit. Sharon Adler, MD, Professor of Medicine, David Geffen School of Medicine at UCLA, Associate Chief, Division of Nephrology and Hypertension, Harbor-UCLA Medical Center: First, let me thank the organizers for giving me this great opportunity to appear foolish before a large audience. The patient and family must know what problems to report to the healthcare provider.

Next

Page 2

acute renal failure case study nursing

Correction of electrolyte imbalance. An amount lower than this indicates a decreased GFR. Clearly, the clinicians caring for this patient were thinking about rapidly progressive glomerulonephritis because they did send off for ANCA and anti-GBM antibody testing. Explain the need to reduce sedentary activities such as watching television and using social media in long periods. As a Nurse , NursingAnswers.


Next