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    Case Study Hemodialysis

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    Charmaine del Rosario
    The document discusses several patient cases involving chronic kidney disease and renal replacement therapies: 1) H.D. is a 32-year-old woman with chronic glomerulonephritis who is scheduled for an arteriovenous fistula surgery to prepare for hemodialysis. 2) P.N. is a 68-year-old man on peritoneal dialysis who has several medical issues including difficulty following his dietary restrictions. 3) G.D. is a 30-year-old woman with polycystic kidney disease who must soon begin renal replacement therapy and is considering options like hemodialysis, peritoneal dialysis, and transplantation.

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    Case Study Hemodialysis

    Uploaded by

    Charmaine del Rosario
    455 views5 pages
    The document discusses several patient cases involving chronic kidney disease and renal replacement therapies: 1) H.D. is a 32-year-old woman with chronic glomerulonephritis who is scheduled for an arteriovenous fistula surgery to prepare for hemodialysis. 2) P.N. is a 68-year-old man on peritoneal dialysis who has several medical issues including difficulty following his dietary restrictions. 3) G.D. is a 30-year-old woman with polycystic kidney disease who must soon begin renal replacement therapy and is considering options like hemodialysis, peritoneal dialysis, and transplantation.

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    The document discusses several patient cases involving chronic kidney disease and renal replacement therapies: 1) H.D. is a 32-year-old woman with chronic glomerulonephritis who is scheduled for an arteriovenous fistula surgery to prepare for hemodialysis. 2) P.N. is a 68-year-old man on peritoneal dialysis who has several medical issues including difficulty following his dietary restrictions. 3) G.D. is a 30-year-old woman with polycystic kidney disease who must soon begin renal replacement therapy and is considering options like hemodialysis, peritoneal dialysis, and transplantation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    455 views5 pages

    Case Study Hemodialysis

    Uploaded by

    Charmaine del Rosario
    The document discusses several patient cases involving chronic kidney disease and renal replacement therapies: 1) H.D. is a 32-year-old woman with chronic glomerulonephritis who is scheduled for an arteriovenous fistula surgery to prepare for hemodialysis. 2) P.N. is a 68-year-old man on peritoneal dialysis who has several medical issues including difficulty following his dietary restrictions. 3) G.D. is a 30-year-old woman with polycystic kidney disease who must soon begin renal replacement therapy and is considering options like hemodialysis, peritoneal dialysis, and transplantation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    Kay Charm po tong 1st page!

    H. D. is a 32-year-old female client with chronic glomerulonephritis. She is married and has three children. H. D. is in chronic renal insufficiency and nearing ESRD. She is to have an arterioveneous (AV) fistula created and is scheduled for surgery tomorrow. Questions 1. Develop a perioperative teaching learning plan for H. D. 2. What assessments should the nurse make postoperatively about the fistula? 3. What teaching is indicated for H. D. prior to her discharge to encourage ripening of the fistula? What should H. D. be told about preventing clotting of the fistula?

    Kay Salve po to na 2nd page!

    H. D. returns to the hospital 8 months after the initial surgery to begin hemodialysis on an outpatient basis. 4. develop a care plan for H. D. that includes her dialysis runs and self-care in between sessions. 5. During a hemodialysis session, what should the nurse monitor? 6. What are the potential complications that H. D. may incur from hemodialysis?

    Kay JR po tong 3rd page!

    H. D. is dialyzed every Monday, Wednesday, and Friday. After 2 months of outpatient dialysis H. D. amd her husband inquire about home dialysis. 7. What assessment should be made by the nurse and other health care team members to determine whether H. D. is a suitable candidate for home hemodialysis? 8. Develop teaching-learning plan for H. D. and her husband about home hemodialysis. 9. What support systems will H. D. and her family need to manage home hemodialysis? 10. What are the potential complications H. D. may incur while on home dialysis?

    Kay Joan po tong 4th page!

    P. N. a 68-year old American male client, is currently being treated with outpatient peritoneal dialysis 3 days per week for ESRD secondary to hypertensive nephrosclerosis. He is anorectic, weak, and hypertensive. A low-sodium diet and antihypertensive drugs have failed to control his blood pressure. P. N. was placed on hemodialysis 5 years ago. He had several fistula failures requiring revisions in both arms and the left leg. Following the clothing of the last fistula in his right arm, a Tenckhoff peritoneal catheter was inserted 1 year ago P. N. has been on peritoneal dialysis since that time. During dialysis sessions, he has episodes of cramping, nausea, and diarrhea. P. N. also had a pacemaker inserted 2 years ago because of a dysrhythma. He was placed on disopyramide phosphate (Norpace) 100mg QD and digoxin (lanoxin) 0.125 mg on MWF P. N. also takes a multivitamin, thiamine, folate, iron and a stool softener. P. N. is on a 2-g sodium, 50-60-g protein, 50mEq potassium diet. He lives alone and finds it difficult to follow the dietary restrictions. His dry weight is 148 pounds. 1. Identify the relevant nursing diagnoses for P. N. 2. Develop a care plan for P. N. including care of the Tenckhoff catheter, medications and care during dialysis sessions. 3. What assessments should the nurse make about P. N.s dietary habits? 4. What resources are available to assist P. N. in being more compliant with his dietary restrictions? 5. On this admission, P. N. weighs 154 lbs. the dialysate order is for a 30% solution if he is 0-3 lbs above his dry weight or a 50% solution if he is 4-5 lbs above his dry weight. An additional 250mL of D50 in water is to be added if he is more than 6lbs above his dry weight. What dialysate should the nurse use?

    Kay Prenciss po tong 5th page!

    G. D. is a 30-year-old female client who is married and has two adopted children. She is diagnosed with polycystic kidney disease (PKD) G. D. will soon have to go on dialysis or consent to a renal transplant. 1. Develop a teaching plan for G. D. that explains hemodialysis, peritoneal dialysis, CAPD, and renal transplantation. 2. What additional data should the nurse collect to help G. D. make the best decision for herself? 3. Due to long distance G. D. lives from the medical center, she elects to begin CAPD. Develop a plan of care for G. D. for this procedure. 4. Develop a teaching-learning plan for CAPD management.

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