Tuesday, May 12, 2020

Symptoms And Symptoms Of Acute Kidney Infection - 955 Words

During the second set of final clinical practice, I provided nursing care to the client with query sepsis and clostridium difficile as admitting diagnosis. The client had a history (Hx) of acute kidney infection (AKI) which led to dialysis. After resolving AKI, the patient went home, but soon returned to the hospital with severe diarrhea (5-6 episodes per day), confusion and symptoms of sepsis. Upon initial assessment, I found the patient oriented to name only, confused and lethargic, incontinent of urine and stool. The patient had bilateral crackles throughout the lung fields, gurgles upon exertion and tachypnea with respiratory rate 24-28. SpO2 level was within normal limits. The patient’s family reported that the current patient’s cognitive condition function was different from the baseline. The patient was difficult to arouse, with Glasgow Coma Scale (GCS) score 12-13. The heart rate was within normal limits, strong, irregular. Bilateral edema 2+ was present in lower legs, skin was warm to touch, pedal pulses palpable. The patient was on caloric count due to poor caloric intake. The family was frustrated because of recurrent hospitalization due to hospital-acquired infection and very concerned about possibility of poor outcome for the patient due to rapidly deteriorating general condition. My primary concern was the possible aspiration as evidenced by gurgles upon exertion. I elevated the head of bed and made sure that suctioning equipment was in place andShow MoreRelatedAcute Syndrome : Acute Nephritic Syndrome1165 Words   |  5 PagesAcute Nephritic Syndrome Introduction Acute nephritic syndrome is a group of symptoms that occurs with a few disorders that cause glomerulonephritis or swelling and inflammation of the glomeruli in the kidney as shown in Figure 1. 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The Kidneys The role of the kidneys is to remove nitrogenous wastes from the body. Nitrogenous means that it is rich in the element nitrogen. Nitrogen in high concentrations in the body can cause several problems such as joint pain, strokes or heart attacks. The kidney is made up three parts: the renal cortex, the renal medulla and the renal pelvis. All mammals have two kidneys. The kidneys primary function is to regulate various body fluidsRead MoreThe Issues Associates with Acute Renal Failure1025 Words   |  4 PagesAcute renal failure is the most common kidney disease that exists today. It occurs when blood flow to the kidneys is in some way compromised which causes a sudden stop in kidney function. Acute renal failure is a very serious complication for a already hospitalized patient since they are already in a vulnerable state from staying in the hospital, in fact, it is the most common cause of death amongst hospitalized patients, and most commonly they occur because of a hospital worker s error. Acute renalRead MoreCauses And Treatment Of A Kidney1121 Words   |  5 PagesPyelonephritis As kidney is one of the very important organ of the body, its dysfunction may result in the fatal consequences. Unlike any other disruption to the kidney, Pyelonephritis may introduce some serious problem to the elderly. It is an inflammation of the kidney. Though this disease is not prone to old people, most chronic cases occur in people over 60 years of age. 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If the Renal blood flow is altered then the glomerular filtration rate will be altered as well. A decrease in systemic pressure stimulates the sympathetic nervous system to constrict the renal artery and decreases filtration and secretion in the kidney. In addition, a tubular

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