Hca 240 Kidney Worksheet

Topics: Kidney, Nephrology, Chronic kidney disease Pages: 4 (888 words) Published: February 17, 2013
Associate Level Material
Appendix D

Read each scenario and write a 25- to 50-word answer for each question following the scenarios. Use at least one reference per scenario and format your sources consistent with APA guidelines.

Scenario A

Acute renal failure: Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output.

1. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom?

Since Ms. Jones recently had open-heart surgery her kidneys may not have had enough blood flowing to them. Some other possibilities are because of low blood pressure during the surgery, or she may have developed kidney stones. ("Pubmed Health", 2012). The kidneys filter out fluids and waste from the body, and the production of urine is made. When a patient has kidney stones their urine output becomes low. This can cause strain on her kidneys, be very painful during urination, and be the reason why they are not functioning properly.

2. What other symptoms and signs might occur?

Some other symptoms that her physician may be watching for are fluid retention, drowsiness, fatigue, and the smell of ammonia on her breath. ("Pubmed Health", 2012). These are just a few other signs and symptoms that can accompany acute renal failure. There are some signs and symptoms that can be mistaken with post-operative complaints. However, further evaluation and testing can assist in that determination. She may also experience severe pain that can spread into the groin area causing even more pain until the kidney stones are passed.

3. What is causing Ms. Jones’s kidney disease?

Ms. Jones’s recent open-heart surgery is most likely the cause of her kidney disease. The low blood pressure that occurs during operation could have caused her kidneys to stop functioning properly because of the shortness of...
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