Scenario

Topics: Renal failure, Chronic kidney disease, Kidney Pages: 3 (571 words) Published: November 9, 2014
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?

Ms Jones has had a decrease of blood getting to her kidneys due to several blocked vessels in her heart, which can lead to kidney failure.

2. What other symptoms and signs might occur?

Signs or symptoms can be decreased urine output, swelling in legs or ankles due to fluid retention. Also confusion and fatigue can be symptoms, along with severe cases with seizures.

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

The condition of her heart and the vessels caused blood and fluid restriction, the slow blood flow to the kidneys cause direct damage to the kidneys.

4. What are possible treatment options, and what is the prognosis?

Treatment usually means hospital stay, because there needs to be a balance in the amount of fluids in the blood and medications to control blood potassium. Dialysis will need to take place in order to remove toxins from the blood. Until her kidneys recover, she will need to control her diet so her kidneys do not have to filter too much or work to hard.

Scenario B

Chronic renal failure: Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he is not urinating more than once a day.

5. Why is the condition of Mr. Hodges’s kidneys...
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