Presented by: Group 3 | NCMB312 RLE

TABLE OF CONTENTS

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 CASE SCENARIO:
Irio Tommasini, 14 years old sought consult with his mother. The mother related that her son has
just recovered from a week of “throat pain”.

During the initial interview with Irio; he verbalizes that he feels nauseated and feels weak. He also tells
the nurse of the constant headaches that he has been getting and he barely urinates.The nurse notes
periorbital
edema, engorged neck veins, and dyspnea. BP is 150/100, An initial urinalysis was ordered for Irio.
Results were as follows: microscopic red blood cell casts in the urine, presence of protein, and WBC.

Irio is admitted to the pediatric unit and the doctor ordered another series of laboratories including a 24-
hour
urine specimen for creatinine clearance. Results were as follows: Positive throat culture group A beta-hemolytic
streptococcus, GFR 55 ml/min, BUN 5mg/dl, Creatinine .5mg/dl. Irio was also given Lasix 20mg Q8, Penicillin
500mg TID x 10 days,Irio was placed on a low salt diet while the doctor also restrict fluid intake and ordered I and
O measurement round the clock awaiting the result of the kidney biopsy.
 01
Pathophysiology
You can enter a subtitle here if you need it
“This is a quote, words full of wisdom
that someone important said and can
make the reader get inspired.”

—SOMEONE FAMOUS
MY VALUES

MERCURY VENUS MARS

It’s the closest planet to the Sun Venus has a beautiful name and Despite being red, Mars is
and the smallest in the Solar is the second planet from the actually a cold place. It’s full of
System Sun iron oxide dust
02 Importance
You can enter a subtitle here if you need it
URINALYSIS
WHAT I DO

THEM US
Mercury is the closest planet to the Sun Venus has a beautiful name and is the
and the smallest one in the Solar System second planet from the Sun. It’s hot
—it’s only a bit larger than the Moon and has a poisonous atmosphere
WORK AREAS

VENUS MARS JUPITER SATURN

Despite being red,
Venus is the second It is the biggest planet Saturn is a gas giant
Mars is actually a cold
planet from the Sun in all the Solar System and has several rings
place
MY EDUCATION

COURSE SCHOOL CITY DATE

COURSE 1 Name of the school City name 2020-2021

COURSE 2 Name of the school City name 2018-2020

COURSE 3 Name of the school City name 2015-2018

COURSE 4 Name of the school City name 2013-2015

MY SKILLS

SKILL 1 95%

SKILL 2 75%

SKILL 3 90%

SKILL 4 60%

Follow the link in the graph to modify its data and then paste the new one here.
For more info, click here
MY EVOLUTION

INTERN JUNIOR SENIOR MANAGER CEO

2008-2009 2010-2014 2014-2017 2017-2019 2020

Mercury is a Venus is terribly Mars is a very Jupiter is the Saturn is the ringed
small planet hot cold place biggest planet planet
INTERNATIONAL EXPERIENCE

MADRID
Describe your experience
working in this place

PARIS
Describe your experience
working in this place

MILAN
Describe your experience
working in this place
A PICTURE
IS WORTH A
THOUSAND
WORDS
Nursing Care Plan
PRIORITY
03
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Excess Fluid
Volume related
to
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
Nursing Care Plan
POTENTIAL
03
 ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Risk for falls related Short-term: Assess the patient’s A fall is more likely to be Short-term:
-He verbalizes that he to fatigue After 2 hours of environment for factors experienced by an After 2 hours of
nursing intervention, known to increase fall individual if the nursing intervention,
feels weak the patient will be risk such as unfamiliar surrounding is not familiar the patient was able
able to: setting, inadequate such as the placement of to:
-He also tells the -Identify factors that lighting, wet surfaces, furniture and equipment in a -Identify factors that
nurse of the constant increase risk for falls waxed floors, clutter, and certain area. increase risk for falls
-patient will describe objects on the floor. -describe energy-
headaches that he energy-conserving conserving techniques
has been getting techniques
Assist the patient with Setting priorities is one sort Long-Term:
Long-Term: setting priorities for of an energy conservation After 8 hours of
After 8 hours of preferred activities and method that permits the nursing intervention:
nursing intervention: role responsibilities. patient to utilize available
energy to complete - the patient was able
- the patient will be important activities. to verbalize increased
able to verbalize Attaining desired goals can energy
increased energy develop the patient’s mood -the patient and the
-the patient and the and sense of emotional caregiver was able to
caregiver will be able health. implement safety
to implement safety measures to prevent
measures to prevent falls
falls Provide heavy furniture that Patients having difficulty in -the patient was free
will not tip over when used
-the patient will be balancing are not skilled at from falls
as support when patient is
free from falls ambulating. Make the walking around certain
primary path clear and as objects that obstruct a
straight as possible. Avoid straight path.
clutter on the floor surface
 INTERVENTION RATIONALE SHORT TERM

Encourage the patient to wear shoes or slippers with nonskid Non skid footwear reduces risk of falls when Short-term:
soles. walking.Oriented the patient on the importance of using non After 2 hours of nursing
skid slippers. intervention, the patient was
able to:
Place items used by the patient within easy reach. -Identify factors that
Stretching to get items from bedside tables that are out of increase risk for falls
reach can disrupt patient's balance and contribute to falls. -describe energy-conserving
techniques

Allow the patient to participate in a program of regular Studies recommend exercises to strengthen the muscles, Long-Term:
exercise and gait training. improve balance, and increase bone density. Increased After 8 hours of nursing
physical conditioning reduces the risk for falls and limits intervention:
injury that is sustained when fall transpires.
- the patient was able to
verbalize increased energy
Ask family to stay with the patient. -the patient and the
This is to prevent the patient from accidentally falling or caregiver was able to
pulling out tubes implement safety measures
to prevent falls
Assess the safety of the environment. -the patient was free from
Blockages such as throw rugs, children’s toys, and pets can falls
further control and limit one’s ability to ambulate harmlessly
Teach client how to safely ambulate at home, including using
safety measures such as handrails in bathroom. This will help relieve anxiety at home and eventually
decreases the risk of falls during ambulation.
Promote sufficient nutritional intake
The patient will need properly balanced intake of fats,
carbohydrates, proteins, vitamins, and minerals to provide
energy resources
Encourage an exercise conditioning program as appropriate. It helps patient to prepare and conserve energy

Teach the family regarding dietary inclusion and restriction; low salt Provides nourishment while the disease is being resolved.
diet and fluid restriction

Educate patient and family to divide the fluid intake allowed The amount of fluid allowed to take depends on the level of kidney function.
throughout the day

Educate patient about to Limit all drinks, all food that are liquid at Avoids additional fluid retention and edema in the presence of renal
room temperature damage.
- Ice cream
- Ice cubes
- gelatin
- Yogurt
- Soups
- Sauces
- Watery fruits and vegetable (watermelon,pineapple,
oranges, strawberry,cucumber, lettuce, tomatoes, bell
peppers, cauliflower, cabbage etc.)

DEPENDENT
Administer lasix as per doctors ordered
Administer Penicillin as per doctors ordered

COLLABORATIVE
Refer to a dietician for a consultation to develop a meal plan low in A proper diet plays a vital part in controlling the symptoms, maintaining
sodium, potassium, and protein that includes preferred foods as nutrition and in the management of the disease.
allowed.
123,456,789
Big numbers catch your audience’s attention
PROJECT 2

MERCURY VENUS MARS

It’s the closest planet to the Venus is the second planet Mars is actually a very cold
Sun from the Sun place

JUPITER SATURN NEPTUNE

Jupiter is the biggest planet It’s composed of hydrogen It’s the farthest planet from
of them all and helium the Sun
 12%
Venus has a beautiful name

45%
Jupiter is the biggest planet

89%
Mars is actually a cold place
AWESOME
WORDS
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