Scribd Logo
Upload

Welcome to Scribd!

  • 101 views

    FDAR - Salimbagat - Hemodialysis

    Uploaded by

    Christine Pialan Salimbagat
    The document summarizes the care provided to a 65-year-old male hemodialysis patient experiencing itching. At 8:00 AM, the patient complained of persistent itching 30 minutes after starting dialysis treatment. The nurse assessed for potential causes of pruritus, applied moisturizer, and educated the patient on preventing scratching and applying emollients. By 8:10 AM, additional interventions were taken including changing dialysate, flushing with normal saline, and correcting calcium and phosphorus levels. The patient reported an absence of itchiness and comfort by 8:30 AM, indicating the goal of relieving pruritus was met.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    FDAR - Salimbagat - Hemodialysis

    Uploaded by

    Christine Pialan Salimbagat
    101 views2 pages
    The document summarizes the care provided to a 65-year-old male hemodialysis patient experiencing itching. At 8:00 AM, the patient complained of persistent itching 30 minutes after starting dialysis treatment. The nurse assessed for potential causes of pruritus, applied moisturizer, and educated the patient on preventing scratching and applying emollients. By 8:10 AM, additional interventions were taken including changing dialysate, flushing with normal saline, and correcting calcium and phosphorus levels. The patient reported an absence of itchiness and comfort by 8:30 AM, indicating the goal of relieving pruritus was met.

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document summarizes the care provided to a 65-year-old male hemodialysis patient experiencing itching. At 8:00 AM, the patient complained of persistent itching 30 minutes after starting dialysis treatment. The nurse assessed for potential causes of pruritus, applied moisturizer, and educated the patient on preventing scratching and applying emollients. By 8:10 AM, additional interventions were taken including changing dialysate, flushing with normal saline, and correcting calcium and phosphorus levels. The patient reported an absence of itchiness and comfort by 8:30 AM, indicating the goal of relieving pruritus was met.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    101 views2 pages

    FDAR - Salimbagat - Hemodialysis

    Uploaded by

    Christine Pialan Salimbagat
    The document summarizes the care provided to a 65-year-old male hemodialysis patient experiencing itching. At 8:00 AM, the patient complained of persistent itching 30 minutes after starting dialysis treatment. The nurse assessed for potential causes of pruritus, applied moisturizer, and educated the patient on preventing scratching and applying emollients. By 8:10 AM, additional interventions were taken including changing dialysate, flushing with normal saline, and correcting calcium and phosphorus levels. The patient reported an absence of itchiness and comfort by 8:30 AM, indicating the goal of relieving pruritus was met.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 2

    FDAR CHARTING

    (Focus-Data-Action-Response)

    Age: 65 y.o Sex: Male CC: Itching during hemodialysis

    Medical Diagnosis: Not indicated

    Date, Time, and FOCUS PROGRESS NOTES


    Shift

    03/14/2022

    7am-3pm

    8:00 AM Itching D- Male patient received in a sitting position with


    arteriovenous (AV) fistula access placed on his upper right
    arm. Patient appears tired but is coherent, drowsy, oriented
    to self, time, place, and events, vital signs as follows: BP
    120/70 mmHg, oral temperature: 37 degree C, HR 85 bpm,
    RR 22 breaths/minute, dry and pale mucous membranes
    and dry skin noted. Patient complained of persistent and
    recurrent bilateral discontinuous itch 30 minutes after the
    start of hemodialysis treatment as well as dryness of his
    skin. Patient stated being uncomfortable and has the urge
    to scratch his skin aggressively. -------------------------------
    CPS

    A- Assessed patient if the pruritus is localized or


    generalized, assessed the duration of pruritus, character of
    pruritus (paroxysmal or continuous), exacerbating and
    relieving factors, detailed drug history, and treatments he
    tried such as prescription/over the counter, topical, oral etc.
    8:10 AM Assessed dialysis adequacy, considered heparin allergy,
    and patient switched to NS flush as indicated, considered
    changing dialyzer, tubing, dialysate (to ultra-pure dialysate
    fluid). Corrected serum phosphorus and calcium levels.
    Advised the patient not to rub or scratch the itchy areas.
    Applied aggressive skin moisturization with topical
    emollients such as fragrance-free Pramoxine 1% in
    emollient. Conducted patient education on importance of
    avoiding or minimizing scratching of itchy areas, as well
    as application of emollients and natural oils, such as baby
    oil, Menthol 0.25%/camphor 0.25% in emollient twice a
    day or thrice a day and especially after bathing as ordered
    by the physician. Acupuncture, UVB phototherapy, and
    Opioid receptor modulator can also be considered as
    indicated.
    ----------------------------------------------------------------------
    CPS

    R- (Goal Met) Patient stated comfortability and absence of


    itchiness all over his body---------------------------------- CPS

    Patient’s Name / Room No. | 1


    CPS, SN

    MSU-IIT CON

    8:30 AM

    Patient’s Name / Room No. | 2

    You might also like