Acute Kidney Injury (AKI) occurs when there is a sudden loss of renal function resulting in the bodies inability to maintain homeostasis. AKI is common in clients who are in the hospital, in intensive care units, and especially in older adults (“Acute Kidney Injury” (AKI), 2017). The following is an evolving case study regarding a client who presented to the emergency department after experiencing nausea, vomiting and diarrhea for the past week. This evolving case study will evaluate the…
38.5° C, severe abdominal pain & nausea due to pancreatic inflammation with intra-abdominal ascites. One of the symptoms of ascites is infection which can cause kidney failure if not treated (ACG, 2013). Two different CT scan with contrast media performed can result to contrast-induced nephropathy due to preexisting decline in renal function. CIN can be defined as sudden, rapid deterioration of kidney function due to parenteral contrast administration. Contrast-induced kidney injury is diagnosed…
was diagnosed with chronic renal failure. He also had an earlier acute kidney injury. After being seen by the nephrologist, he was referred to the dialysis unit for hemodialysis. In this scenario, the patient should learn to manage by himself his disease. Therefore, it is the nurse’s responsibility to…
incomplete with many undiagnosed cases in a population. Output bias is noted in terms of consequent under-reporting of morbidity status. Accuracy of national recording of the outcomes, in terms of complications, most notably amputations, blindness, and renal failure, is also hugely variable. Direct comparisons are problematic insofar as state-funded and private systems co-exist and have different outcome measures. The various healthcare systems have the primary healthcare provided by different…
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…
The healthcare setting is an ever-changing and unpredictable environment, challenging nurses to various situations that come about in clinical practice (Caldwell & Grobbel, 2013). In such situations, the ability of the registered nurse to demonstrate effective clinical reasoning and critical thinking skills is an essential component of nursing competence (Pinnock & Welch, 2014). The following essay will explore the experience of a registered nurse during a time of clinical decision-making and…
Introduction During this clinical I had an 85-year-old male, who was admitted with a diagnosis of acute kidney injury. The patient was a very nice individual, which I enjoyed my time with him. He would make a couple of jokes here and there; he would make me laugh. The patient had been there for seven days and was now being discharged. When the nurse told him that he was being discharged he got very excited as he didn’t know that he was finally being discharged. Knowing that he was going to be…
The Failing of Successful Failures Success and failure share a paradoxical connection, but one can lead to the other. Reaching success can bring a feeling of satisfaction that can lower ambition. This situation, if not handled properly, can lead to failure due to lack of focus. But in the same spectrum, failure can fuel success, and that is my subject of interest. Failure is one of the steps necessary to succeed. Similar to the testing concept, failure is just the outcome necessary to perfect…
Engineering Disasters One of the most famous engineers was Thomas Edison who famously stated that “ [he had] not failed, [he had discovered] 10,000 ways that did not work”. Despite Edison’s numerous failures, he eventually perfected his version of the light bulb, got it patented and proceeded to make his invention available to consumers. Edison’s approach illustrates the engineer’s ideal process, as he repeatedly tests and perfects the design of the desired result before releasing the result to…
Animal Rights When it comes to the topic of animal rights, most of us will readily agree that animal testing should be abolished. Where this agreement usually ends, however, is on the question whether there are alternative replacements which are proven successful. Whereas some are convinced that animals shouldn’t be used because they’re very different from human beings and the results are not accurate. In my view, I agree that we should eliminate animal testing because the results may be…