A. S AKI Case Study

Improved Essays
point) Interpret A.S.’s laboratory test results and describe their significance to the patient’s disease process.
Both the Hemoglobin and hematocrit are low which can be a sign of kidney failure. When the kidneys start to fail the amount of erythopoietin being relased c often times decreases and the erythopoietin is what stimulates the red bloos cell production.
WBC’s are on the low side but still within normal range.
Sodium is low, the normal is 135-145, this can be caused by the kidney injury the kidenys are reabsorbing more sodium and water follows so the water dilutes the amount of sodium but also since the patient suffers from a long history of heart failure this can also play a role in the decreased sodium because with heart failure
…show more content…
( 1 point) What is the most likely cause of A.S.’s AKI?
The patients long history of heart failure
3. ( 1 point) Is this cause of AKI classified as prerenal, intrarenal, or postrenal? Explain your answer.
Heart failure in itself is clasified as prerenal cause of AKI. What this means is that the cause of the AKI is a results of factors external to the kidneys. With heart failure the cardiac output is decresed which inturn decreases the perfusion to the kidenys so the kidneys are not receving enough oxygen to work correctly. With prolonged perfusion problems the cause of the AKI can progress from perrenal to intrarenal. This happens when the prerenal cause (heart failure/decreased profusion) is proonged and actully causes direct injury to the kidney. I feel like this patients cause of AKI is progrossing from prerenal to intrarenal.
4. ( 1 point) What additional tests, if needed, could be done to determine the cause of AKI?
There are many additonal test that can be doen to determine the cause of the AKI after a UA, BUN and Creatinine, GFR, eletrolyte pannel and the more common test there are more test more focused on determining the cause rather than diagnosising the AKI. These tests can include a urine sediment, urine osmolarity and speciic gravity
…show more content…
Monitor location and extent of edema, monitor daily weights for sudden increase, monitor I&O’s, assess respiratory findings (crackles/labored breathing) monitor serum and urine osmolality, serum sodiume, BUN/cretinine and heatocrit/hemoglobim for abnormallities.
2. Assess the patients behavior and cognition status, identify precipitating factors, treat underlying factors, ensure adequate nutritiion, and rovide reality orentation.
3. Assess the patient for cause of immobility, monitor and record the patients ability to tolerate activity increasing the amount of activity only when the patient can tolerate it, increase the clients independence of ADL’s, help the patient achieve mobility goals and consult with PT.

7. ( 2 point) What are the goals of conservative therapy for a patient with AKI?
The goal of conservative therapy is to maintaine as much kidney funtion as possible. AKI is potentially reversible so the goal is to eliminate the ause, manage the signs and symptoms and prevent complications while the kidneys recover.

A type of conservative thrapy is continuous renal replacment therapy which is a way of removing excess fluid and uremic toxins while acid-base status and eletrolyes are adjusted

Related Documents

  • Improved Essays

    Outline On Heart Failure

    • 1650 Words
    • 7 Pages

    Kidney damage- Heart failure can reduce the blood flow to your kidneys, which can eventually cause kidney failure if left untreated. This can lead to the need for dialysis. 2. Heart valve problems-The valves of your heart keep blood flowing in the proper direction. If there is a problem, like stenosis, which is narrowing where the valve opens, blood can back flow in the wrong direction.…

    • 1650 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Systolic Heart Failure

    • 1625 Words
    • 7 Pages

    Heart failure is when the heart stops functioning properly, this is a cause of death. Congestive heart failure would be when the heart does not pump blood as well as it should. According to Mayo Clinic it states that, angiotensin converting enzyme inhibitors help someones hearts get in good or even better conditions. Essentially, ACE helps people with systolic heart failure. Systolic heart failure is when the ejection fraction is decreased, this leaves an unusual volume of blood in the left ventricle.…

    • 1625 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Therefore, patients should be monitored to see if there is any change in the dose or the product. Secondly, dosing of these enzymes may require monitoring and adjustment depending on the patient symptoms such as diarrhoea, bloating and abdominal pain (Mascarenhas, 2003). For example, there are cases where an avoidable severe complication has been reported with the use of pancreatic enzymes after changing the product. It turns out this complication was a consequence of using of an enteric coated excipient (Peckham & Whitaker, 2013). Moreover, using acid suppression medication, such as proton pump inhibitors, may boost the effect…

    • 1493 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    The patient with systolic heart failure, or systolic ventricular dysfunction, would present to the clinic with very different symptoms from the patient with diastolic heart failure. In systolic heart failure, the heart is incapable of producing enough cardiac output to supply vital tissues. Because of this insufficiency, the hard must work harder to provide adequate blood supply to its vital organs and tissues. Cardiac output is determined by heart rate, how fast the heart is beating, and stroke volume, how much blood is being pumped through the heart. However, stroke volume is determine by three key factors: contractility, preload, and afterload (McCance 1190).…

    • 782 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Left sided failure is the most common form of heart failure. Left sided failure involves a malfunction on the left ventricle. This malfunction prevents the ventricle to fully pump the blood through the left atrium, therefore causing the blood to pool from the left ventricle into the left atrium, and into the pulmonary veins. This sequence causes the pulmonary pressure to increase and therefore leading into pulmonary congestion, and edema. Right sided heart failure causes the blood to pool in the right atrium and venous circulation.…

    • 723 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    High cholesterol is one of the causes of coronary artery disease which is a type of cardiovascular disease (Lewis, et al., 2014, p. 731). Chronic endothelial injury from hypertension, etc play a central role in the development of CAD. When there is already damage done cholesterol accumulates in the smooth muscle of the vessel called a fatty streak (Lewis, et al., 2014, p. 731). The next two stages are fibrous plaque and complicated lesion (Lewis, et al., 2014, p. 731). The vessel narrows due to this process which reduces the blood flow to tissues (Lewis, et al., 2014, p. 731).…

    • 1405 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Heart Murmur Case Study

    • 1273 Words
    • 6 Pages

    This happens when too much blood circulating through the heart’s main arteries through a patent ductus arteriosus can lead to pulmonary hypertension which can cause permanent lung damage. A patent ductus arteriosus can eventually lead to heart failure. This happens because the heart is enlarged and weakened over time. She could develop heart infection or endocarditis. This happens when there is inflammation of the hearts inner lining.…

    • 1273 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    Hemin helps reduce 5’-aminolevulinate synthase-1 activity allowing the liver to reduce production of delta-aminolevulinic acid and porphobilinogen (Besur, Hou, Schmeltzer, & Bonkovsky,. 2014). Due to the issue originating in the liver, hemin is most effective best when given intravenously, to avoid the first pass mechanism in the body. This allows hemin to reach the liver before the body is able to metabolize the drug. Like any drug, prophylactic hemin has side effects that should be monitored by medical…

    • 1580 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Non-ST Segment Elevation Heart Attack A heart attack occurs when a blood vessel on the surface of the heart (coronary artery) is blocked and interrupts blood supply to the heart muscle. This causes that area of the heart muscle to permanently scar. This blockage may be caused by cholesterol buildup (atherosclerotic plaque) within a coronary artery. The plaque cracks which creates a rough surface where blood cells attach, forming a clot. Chest discomfort that happens with exertion and goes away with rest is called angina.…

    • 1482 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    This hence determines the likelihood of a decompensated heart failure. Furthermore, it means that the wall separating the left ventricle is not working well like the muscles around it due to ventricular failure, causing fluid buildup which leaks into interstitial and pleural space and eventually into alveoli (Croft & Gordon…

    • 1201 Words
    • 5 Pages
    Improved Essays