Nephrology

1. Medical Conditions/Diagnosis: Pa Dx include: Kidney failure, CRF, Diabetes, Edema, Anemia, and HTN. The reported effects includes: severe weakness, swelling and fluid retention in her extremities and in her abdomen. Pa receives ESRD - dialysis 3 days a week. Pa reports that she is no longer on the kidney transplant list due to risk factors associated with age. Pa has an hx of R great toe amputation in 5/5/2005 d/t osteomyelitis. Hx of L little toe amputation in October 2011 d/t…

INTRODUCTON Urinalysis is a test that evaluates a sample of urine. The urinalysis is used as a screening/or diagnostic tool because it can help detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is ordered widely and routinely to detect any abnormalities that require follow up. Often, substances such us protein or glucose will begin to appear in the urine before people are aware that they may have a problem. It is used to detect…

A trauma patient sustains a crush injury and rapidly develops hyperkalemia. Which of the following treatments primarily acts to neutralize the effects of hyperkalemia on the cellular membrane? A: Insulin and glucose • This combination can be used to treat hyperkalemia however it does not work on the cellular membrane. Insulin lowers the serum potassium concentration by forcing the potassium back into the cell. This is done by enhancing the activity of the Na-K pump. The reason glucose is also…

Ella is diagnosed with cholelithiasis. 1. What is cholelithiasis? Choleithiasis is when the gallbladder becomes inflamed. In most cases it is caused by gallstones that form from bile collected in the gallbladder. Stones can consist of one large stone or several small stones. 2. Explain where the organ of diagnosis is, using the terminology of body organization from chapter 1. Be as detailed in your description as possible. The gallbladder is located in the right upper quadrant It is placed…

Kidney stones, also known as renal calculi, are essentially smaller sized deposits of calcium which can be found in the nephrons and vary in size and shape. The stones have the opportunity to increase and travel down into the urinary tract, which can cause extreme pain throughout the body. Stones occur when salts in the urine form into a solid crystal. They can potentially block the flow of urine in the body and cause infection, kidney damage, or could lead to kidney failure. A sudden change or…

Together Let’s Fight 4 Your Life is a support group for Kidney Dialysis patients. Within the support group the members will love, support and encourage one another to remain positive and keep faith during trying times. This support group is sponsored by Frenisus Kidney Care to educate patients along with support on self-care. Let’s Fight 4 Your Life is an evidence based support that will focus on interventions that is highly recommended for chronic renal failure patients. It will focus on…

Renal Scan A renal scan is a procedure used to look for problems with your kidneys. The kidneys are the organs that filter your blood and keep it clean. They move waste out of your blood and into your urine so it can be removed from your body. In this procedure, a small amount of radioactive material (tracer) is injected into your blood. The tracer will travel through your bloodstream and reach your kidneys. A scanner with a camera that detects the radioactive tracer is used to examine the…

Specialty Menu for Chinese Patient With Renal Failure Diagnosis: Renal failure is the slow digression of the kidneys in the body system. The disease can either be acute, or become chronic, which is more common among the elderly. Judith Hopfer, April Hazard Vallerand, and Cynthia A. Sanoski describe in Davis's Drug Guide for Nurses how this occurs. This can result from injury or by the aging process where the kidneys begin to shut down. (Hopfer, Vallerand, Sanoski, 496). Marilynn E. Doenges,…

Furosemide is a medication known as a loop diuretic (Allen, 2013). A diuretic is a medication which increases the amount of urine that passes out from the kidneys and they are often referred to as water tablets. It works by eliminating water and salt from the body through urination. In the kidneys, salt and water are filtered out of the blood and into the tubules of the kidney to the Glomerulus (Waugh and Grant, 2014), making the filtered fluid into urine (Omudhome, 2014). The sodium, chloride…

Acute pancreatitis is a sudden, but reversible inflammatory process of the pancreas. The most common cause of pancreatitis is alcohol in western countries and gallstone in eastern countries. Approximately 80% patients have mild pancreatitis and 20% of patients have severe pancreatitis. About 15-25% of acute pancreatitis develops into severe pancreatitis. Mild pancreatitis has mortality rate less 1% (1, 2) where as the mortality rate of severe pancreatitis varies from (10-30) % depending upon…