Acute Renal Failure NU270 Assignment 6.1 7/26/2012 Patients that are in acute renal failure have many obstacles that they are faced with. The nurse should follow evidence based interventions when caring for them. Electrolyte imbalance, blood loss, infection, and nutrition are just a few of the issues the nurse must be educated about. It is important for the nurse to impose every intervention available to reduce the risk of infection in the patient experiencing acute renal failure. “Make sure appropriate hand hygiene is used.
- Checking vital signs which is include the pules, respiration, and blood pressure. - Head to toe examination, a nurse should palpate and visualize for injuries, assess nose, ears, and mouth for bleeding. - Expose the patient, asses five interventions, giving comfort measure, such as control the pain, inspect for any injury. (Rull, 2014) What is your subsequent management of Mrs. Flynn “including assessment, diagnostic procedure, lab tests etc.”? Furthermore, a nurse should perform an assessment to identify if there are any potential risks on Mrs. Flynn, the assessment will include the ABGs, to assess the acid-base balance and oxygenation status of the blood, x-rays because if Mrs. Flynn suffers from persistent pain the nurse should check for any possible fracture.
Upon arriving at the doctor’s office, the nurse performs a brief assessment. His VS are: 138/86, 100, 30, 100.8 F. M.G. states that he has been feeling fatigued for several months and is experiencing occasional night sweats but he has also been working long hours, has skipped meals, and has been stressed over a project at work. M.G.’s physical is WNL except for his low grade fever and purple skin lesions. The physician orders a PPD, CBC and lymphocyte studies.
To give the proper care and build a genuine nurse-patient relationship conducive to good health Etiology * congenital weakening of the abdominal wall, * traumatic injury, * aging, * weakened abdominal muscles because of pregnancy, or * increased intra-abdominal pressure (due to heavy lifting, exertion, obesity, excessive coughing, or straining with defecation). Anatomy and physiology In
The patient needs to understand his new medical condition in order to gain understanding of the disease process, signs and symptoms, complications, medication regimen, follow-up appointment as well as the benefits of physical activity, diet and weight control. By explaining what causes a myocardial infarction, sign and symptoms, complications using educational video, traced of the heart to demonstrate how it functions will help the patient. Modifying dietary choices, weight control and physical activity will promote better health. This process should be repeated until patient and family voice understanding. Patient and family involvement in plan and care is very vital.
Can be spread by touch, coughs and colds, it is good practise to cover your mouth and nose when coughing or sneezing and washing your hands after, disposing of any tissues in bins. It could also be prevented if residents do not share cutlery, cups or anything that may transfer infection to one another. Infection Control in your work place should be a part of everyday practice, and if followed to the correct procedure, can help to contain illnesses being spread. Diarrhoea, vomiting, coughs and colds are hard to contain in a nursing home because those residents who are mobile don't always understand that its in he interest of the home and the other residents that they are asked to stay in their rooms. Infections can also be transferred through visitors coming in to see their relatives.
Although the procedure is safe and effective, the patient and his or her family need to know that bleeding will most likely occur immediately after the procedure, although it can occur at any time during the first 2 weeks postop. Advise the patient and family that postop pain is similar to that of a throat infection, but is often felt in the ears (“referred otalgia”). Because postop swallowing is painful, the patient may not drink enough fluids. If this problem because severe, he or she may need to be admitted for IV fluid replacement. Discuss the patient’s length of stay.
We are able to determine form the report that her general complaints are an episode of confusion prior to collapsing in the back yard, respiratory distress and tachycardia. Our systematic, hands on assessment begins with the ABC’s. The airway is visually assessed to make sure that it is open without any types of obstruction; this includes any increased mucus, vomitus, of foreign bodies. We must also consider that she recently started on lisinopril and need to check for any angioedema which could be a life threatening side effect. Breathing is assessed by watching the rise and fall of the chest,
According to Meleis (2007) knowing includes knowledge based on observation, research findings (evidenced based), clinical manifestations and scientific approach. As a stroke nurse empirical knowing it’s very important in taking care of stroke patients. I determine patient’s neurological status by performing neuro checks frequently every 1-2 hrs as the patient’s condition might deteriorate the first 24hrs and perform swallow test to determine if the patient can swallow medications. Patient’s plan of care is based on assessment findings(vital signs, Glasgow coma score).If a patient is confused and very weak fall precaution is observed by activating the bed alarms, request for a PT/OT consult, if the patient does not pass the swallow test, a speech therapist is consulted. Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan.
The purspose of the visit was to deliver a bad news to husband that his wife’s health condition took worst over the night in the hospital. In this case, waiting was not possible because the news had to be delivered immediately. This made me feel awkward and uncomfortable being around the family and I found it difficult to know what to say to him as I was unclear of his wife diagnosis. I had discussed with nurse about the diagnosis and asked GP for permission to look at the record notes from hospital. After all that, we went to the house.