Scenario Diagnosis Acute kidney injury and hyperkalemia. Case Summary Elderly lady with chronic kidn. Question
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Asked by MSBKhaLeeloo
Scenario
Diagnosis
Acute kidney injury and hyperkalemia.
Case Summary
Elderly lady with chronic kidney disease, acute kidney injury and hyperkalemia, secondary to dehydration and nephrotoxic medication.
Clinical Findings
Moderate dehydration. Tachycardic and borderline hypotensive
Raised creatinine, potassium approximately 6.0 on arrival
Characteristic EKG changes
What are the main concepts relevant to the patient scenario listed above? Please provide rationales and supporting evidence including course textbook and scholarly references.
What are the normal and abnormal signs and symptoms you should recognize in the patient? What are the steps you can take in your assessment of the patient? What would be your potential findings? Based on your findings, how would you prioritize the care of the patient? Please provide rationales and supporting evidence including course textbook and scholarly references
Based on the assessment findings, what would your independent nursing interventions? (Nursing interventions do not require a provider’s order). Please provide rationales with supporting evidence including course textbook and scholarly references. What specific steps would you take to improve the patient’s outcome?
What would some Related Concepts be? Identify at least 5
Example-main concept of tissue integrity; if tissue integrity is altered/impaired what would be the impact on other concepts such as nutrition, mobility, elimination, perfusion, thermoregulation OR if there is an alteration in nutrition, mobility, elimination, perfusion, or thermoregulation how would that impact tissue integrity?
What would some Related Assessments be? Identify at least 5
Example – main concept of tissue integrity; wound assessment to include location, color, size, shape, odor, and drainage. Report your assessment findings-the patient has a 2cm oval wound on the L heel. The wound is red in color, has no odor, and is producing a scant amount of serous drainage. The wound edges are defined, and the surrounding tissue is pink and warm with no edema.
What would some Related Nursing Interventions be? Identify at least 5. An intervention is defined as “any treatment, based upon clinical judgment and knowledge, that a nurse performs to enhance patient/client outcomes” (Butcher, Bulechek, Docterman, & Wagner, 2018, p.xii).
Example-main concept of skin integrity: reposition the patient at least every two hours or more frequently if needed. Place a rolled sheet or blanket underneath the ankles to reduce the pressure of the heels against the bed, use pillow or cushions to pad other bony prominences to prevent future pressure ulcers from occurring.
SCIENCE
HEALTH SCIENCE
NURSING
BSN 266
Scenario Diagnosis Acute kidney injury and hyperkalemia. Case Summary Elderly lady with chronic kidn
