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NUR330 Advanced Medical Surgical Nursing

Question

Answered

Question:

Topic: Renal Nursing Case Scenario

Abe is a 46 year old Indigenous man from a remote community 200kms outside Alice Springs, NT. He has a thirteen year history of type 2 diabetes mellitus, chronic renal disease (CKD) and hypertension. Abe works as a park ranger for the local government, married with 2 teenage children and is an Elder with cultural responsibilities.

Abe was seen today in the community clinic by the visiting nephrologist to discuss his current disease status and treatment plan.

Current prescribed medications;

  • Ramipril 2.5mg OD
  • Frusemide 20mg BD
  • Metformin 500mg BD

Abe’s assessments findings from today’s clinic appointment:

Vital Signs

Neuro

Alert & orientated

Blood

156/92 mmHg

Pressure

 

Heart Rate

98 bpm regular

SpO2

100% on room air (RA)

Respiratory

20 bpm

rate

 

Temperature

35.6oC

BSL

12.3mmol/l

Pathology results

GFR

20 ml/min/1.73m2

Creatinine

0.09 mmol/L (normal range 0.05-0.12mmol/L)

Urea

7.0 mmol/L (normal range 3.0-8.0mmol/L)

Sodium

140 mmol/L (normal range 135-145 mmol/L)

Proteinuria

positive (urine dipstick)


During the clinic appointment, Abe was most concerned about his increasing symptoms which are beginning to affect his daily living. These symptoms are;

  • Oedema
  • Increasing fatigue
  • SOB
  • Nocturia

Neuro

Alert & orientated

Blood

156/92 mmHg

Pressure

 

Heart Rate

98 bpm regular

SpO2

100% on room air

 

(RA)

Respiratory

20 bpm

rate

 

Temperature

35.6oC

BSL

12.3mmol/l

Assessment description:

Using the case study provided, create a  written report answering the following questions.

  1. What stage of Chronic Kidney Disease (CKD) is Abe at? Provide a rationale for your answer.

  2. Based on Abe’s assessment findings, what key educational/health interventions would you provide/recommend to prevent disease progression? Provide a rationale for your answer.

  3. Compare and contrast the risks and benefits of peritoneal dialysis and haemodialysis. Link this discussion to the case study and a recommendation for treatment.

NUR330 Advanced Medical Surgical Nursing

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Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.

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