Nephrology

Once any treatment plan has been decided the nephrology nurse should be kept up to date. On review of John’s blood results his serum potassium was ≥ 7mmols/l indicating severe hyperkalaemia. Hyperkaleamia is medical condition in which the levels of potassium in the blood have risen to abnormally high levels and without treatment to lower the levels can lead to cardiac arrest (Oxford dictionary of Nursing 2008). Next step in the treatment was for the doctor to repeat the serum potassium and request the nephrology nurse to carry out an electrocardiogram in accordance with GAIN guidelines (2008). John’s ACE inhibitor (ramapril) was with held as this can further increase potassium levels. On further review of John’s blood results and presenting symptoms the doctor decided to insert a temporary line to administer haemodialysis (HDx). The doctor discussed the treatment option with John enabling informed consent (Department of Health 2009). John was feeling apprehensive about the need for dialysis as he perceived it as set…

were used. Objectives were written and goals put in place. The initial objective was to form a multidisciplinary team of which Ms. Upham took the lead. The team consists of the following: The Nephrologist in charge of the program, the Medical Director, Surgeon, Infection Control Physician and Preventionist, the Nurse Manager, Staff members assisting with the program, Dietician, Social Worker and Ms. Upham. The team met regularly over an 8 month period of time to formulate and develop evidence…

balanced diet, avoiding concentrated sweets, three meals per day and a bedtime snack is very important. Teach the patient to avoid canned fruits instead, use fresh vegetables and fruits. Protein restriction is very important for patients with end stage kidney disease. Provisions for the maintenance of dialysis for patients with diabetes can be challenging. Regulating blood glucose levels during dialysis may be challenging for some diabetic patients. Sodium restrictions and control of fluid by…

Nicole Gales on April 7, 2016, I have learned a little more about my major and what I want to really do. First Mrs. Gales and I started off with the basic which was her educational and practice background. Mrs. Gales started by obtaining her bachelor degree in Social Work in 2003, months later she obtained her license to practice Social Work, October 2003 she started working Mississippi Division Human Service, Spring 2008 she started her master’s studies in Social Work, Summer 2010 she graduated…

improve outcomes and facilitate more of a rapid access to a multidisciplinary care team for intervention(Valabhji, 2010). According to Crozier, (2014) patients on hemodialysis have a high prevalence of foot related issues resulting in an increased number of hospitalizations, often resulting in amputations which can be serious and even life threatening. Amputations can be avoided with adequate education and thorough evaluations which promotes early detection and referrals…

57). The goal of nutritional support in a patient with CKD and on dialysis is to "control the intake of some nutrients (phosphorus and Potassium) and reduce the accumulation of metabolic wastes (urea)" (Pasticci et al., 2012, p. 51). It is a constant balancing act and takes the whole nephrology teams collaboration to maintain proper nutrition in a patient with CKD. Any individual with CKD stage 4-5 should have regular screenings by a dietician. A basic nutritional assessment should include; body…

A short term goal for acute renal failure can be monitor their I & O, weigh daily, and monitor blood pressure. Restrict their fluids intake to prevent future injury of the kidney. Assure they are eating an adequate diet and monitor their fluid liquids. A long term goal would be make sure acute renal failure does not become chronic by monitor all the short term goals and making sure the goals are been followed. Reference Page Keith, M. (2013, March 5). Diet For Renal Patient. . Retrieved…

SLE patients in NIH found a prevalence of myositis of 8 %28 In most of these patients, myositis usually involves proximal upper and lower extremities. Histologic findings in SLE myositis are often less pronounced than those observed in polymyositis. RENAL INVOLVEMENT Renal involvement in SLE can be in the form of 1) Immune complex glomerulonephritis ( most common) 2) Tubulointerstitial disease 3) Vascular disease. Tubulointerstitial disease has been observes in upto 66% of SLE renal…

tropinin t, showing a concentration above the ninety ninth percentile above the healthy controls group members (deFilippi et al., 2012). Moreover, the association of high cardiac troponin assays and renal function specifically the troponin t marker was numerically larger than for the troponin I level. In fact the levels were frequently above the ninety ninth percentile in a large proportion of patients with chronic kidney disease (deFilippi et al., 2012). In one of the trials, the demographic…

It has particularly been shown that nutrition therapy can prevent the progression of CKD to ESRD and thereby decrease first-year mortality following the commencement of HD (Beto et al., 2014). In a similar vein, a randomized study of 265 CKD patients in a regional nephrology center carried out by Waal et al. (2015) has shown that nutrition therapy not only delays time to dialysis, but also enhances nutrition-related biomarkers. In their comprehensive review of quantitative studies published in…