Renal Failure Case Study
Nursing Management for Renal Failure
BSN Student
Department of Baccalaureate & Graduate Nursing
NSC 386 Adult Health Nursing II
October 17, 2013
Nursing Management for Renal Failure The purpose of this paper is to utilize the importance of evidence based practice in the clinical setting by incorporating the validity in planning care for the patients whom endure renal disease. Evidenced based practice is such a crucial part in obtaining as much knowledge needed to prioritize and efficiently plan care. This is why it is important for nurses to individualize a patient’s care because nursing care is not universal for all. This paper will review a retired tobacco/dairy farmer. He is an obese, 76 year old white male …show more content…
B’s primary diagnosis was excess fluid volume related to his kidney’s insufficient ability to filter out excess fluid from the blood. His wife mentioned that he has gained about 10 pounds or more weight in fluid over the past few weeks. His chest x-ray showed bilateral interstitial opacities and pleural effusions, which means he has an accumulation of fluid in his interstitial space. He has had a productive cough with clear sputum and his lung sounds were clear in the bilateral upper lobes and then gradually diminished in the bilateral lower lobes. His diminished lung sounds may have been due to the pleural effusions found on the x-ray. His CT scan displayed patchy consolidation which also could support his excess fluid accumulation. As previously stated, Mr. B’s abnormal lab findings of; a low GFR, increase BUN and creatinine, proteinuria, increase BNP, decreased Hgb, Hct, and decreased RBC are all indicative of renal dysfunction. His intake of fluids for the shift was 425ml and his urine output for the same shift was only 225 ml. which shows he was retaining 200 ml of fluid. As a direct result of his excess fluid retention, Mr. B’s secondary diagnosis was imbalanced nutrition related to inadequate food intake. Inadequate food intake resulted in less than body requirements that his body needs to stay healthy. His kidneys inability to regulate excess fluid caused increased water retention in his extremities and throughout his body. He had +1 pitting edema in his lower and upper extremities. Excess fluid retention led to Mr. B being short of breath on exertion and fatigued. Being fatigued caused Mr. B to sleep large amounts during the day which caused him to not wake up much to eat his meals regularly resulting in a lack of nutrition. When Mr. B would wake up for meals he stated “this food isn’t like what she (his wife) fixes
BSN Student
Department of Baccalaureate & Graduate Nursing
NSC 386 Adult Health Nursing II
October 17, 2013
Nursing Management for Renal Failure The purpose of this paper is to utilize the importance of evidence based practice in the clinical setting by incorporating the validity in planning care for the patients whom endure renal disease. Evidenced based practice is such a crucial part in obtaining as much knowledge needed to prioritize and efficiently plan care. This is why it is important for nurses to individualize a patient’s care because nursing care is not universal for all. This paper will review a retired tobacco/dairy farmer. He is an obese, 76 year old white male …show more content…
B’s primary diagnosis was excess fluid volume related to his kidney’s insufficient ability to filter out excess fluid from the blood. His wife mentioned that he has gained about 10 pounds or more weight in fluid over the past few weeks. His chest x-ray showed bilateral interstitial opacities and pleural effusions, which means he has an accumulation of fluid in his interstitial space. He has had a productive cough with clear sputum and his lung sounds were clear in the bilateral upper lobes and then gradually diminished in the bilateral lower lobes. His diminished lung sounds may have been due to the pleural effusions found on the x-ray. His CT scan displayed patchy consolidation which also could support his excess fluid accumulation. As previously stated, Mr. B’s abnormal lab findings of; a low GFR, increase BUN and creatinine, proteinuria, increase BNP, decreased Hgb, Hct, and decreased RBC are all indicative of renal dysfunction. His intake of fluids for the shift was 425ml and his urine output for the same shift was only 225 ml. which shows he was retaining 200 ml of fluid. As a direct result of his excess fluid retention, Mr. B’s secondary diagnosis was imbalanced nutrition related to inadequate food intake. Inadequate food intake resulted in less than body requirements that his body needs to stay healthy. His kidneys inability to regulate excess fluid caused increased water retention in his extremities and throughout his body. He had +1 pitting edema in his lower and upper extremities. Excess fluid retention led to Mr. B being short of breath on exertion and fatigued. Being fatigued caused Mr. B to sleep large amounts during the day which caused him to not wake up much to eat his meals regularly resulting in a lack of nutrition. When Mr. B would wake up for meals he stated “this food isn’t like what she (his wife) fixes