ACTIVE LEARNING TEMPLATE: System Disorder
STUDENT NAME Rosie Resurreccion
REVIEW MODULE CHAPTER
Alterations in Health (Diagnosis) Electrolyte imbalance -Fluid imbalance - Impaird nutritional status - Difficulty coping
Pathophysiology Related to Client Problem re is a reduction of circulation that reduces perfusion in he kidneys. This reduction of perfusion will eventually cause ischemia and necrosis in which the kidneys stop to iX
Health Promotion and Disease Prevention No smoking - Adress hypertension through exercise, proper diet, and complience of medication - Properly manage diabetes, if applicable.
ASSESSMENT
SAFETY CONSIDERATIONS
Risk Factors - Smoke tobacco - Age 60 or higher - Native American CAD -PVD - Diabetes
Expected Findings Short of breath -Decreased urin our put with GFR less than 15 - Increased BUN and creatinine - Change in electrolytes (Na, K, Mg) - Anemic - Infection
- Risk for poor tissue perfusion - Fluid volume overload- Risk for fluid in lungs and peripherial edema.
Laboratory Tests - Electrolyte panel - CBC -ABG - X-Ray - Urinanlysis - Lipid profile
Diagnostic Procedures Chest X-ray Ultrasound -CT
PATIENT-CENTERED CARE
Complications
Nursing Care Monitor I's and O's - Fluid restriction - Monitor vitals such as lung sounds, EcG, respiration rate, heart rate and heart sound
Medications Furosemide Antidote for hypokalemia and hyperkalemia - Antibiotics
Client Education
- Atrial Fibrilation - Ventricular tacheycardia - MI - Heart failure
Educate proper nutrition - Explain possible dialysis - Educate importance of exercise - Educate proper management of diabetes
Therapeutic Procedures Dialysis
Interprofessional Care
- Dietition - Group therapy for patients on dialysis
ACTIVE LEARNING TEMPLATES
THERAPEUTIC PROCEDURE A