Preview

Kidney Worksheet. Hca 240

Satisfactory Essays
Open Document
Open Document
505 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Kidney Worksheet. Hca 240
Kidney worksheet.

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 may have gotten kidney stones while she was in the process of getting open-heart surgery. When a person has kidney stones they do not have a very high amount of urine output because they are unable to urinate without severe pain.

2. What other symptoms and signs might occur? She may have an intense pain that will eventually spread down into her groin and become even more painful until she is eventually able to pass the kidney stones.

3. What is causing Ms. Jones’s kidney disease? I believe that Ms. Jones contracted an infection when she was open for her open-heart surgery or there was some tool used that was not properly sterilized so bacteria was spread into her body.

4. What are possible treatment options, and what is the prognosis? I believe that Ms. Jones may have kidney stones. There really isn’t a way that you can treat kidney stones, you just have to be able to pass them(urinate them out).

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 affecting the rest of his body? Mr. Hodges is at risk for going

You May Also Find These Documents Helpful

  • Satisfactory Essays

    AP II LAB 9 1

    • 444 Words
    • 4 Pages

    1. You read about nephritic syndrome in this lab. You know the cause is the loss of…

    • 444 Words
    • 4 Pages
    Satisfactory Essays
  • Satisfactory Essays

    In my opinion a urinary tract infection or maybe an inflammation with his prostrate that could be causing these symptoms. However, if a urinalysis test strip results in negative leukocyte and nitrite then the likelihood of it being a urine infection is probably not likely.…

    • 1471 Words
    • 5 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Case Study 8 Consult

    • 599 Words
    • 3 Pages

    REASON FOR CONSULT: Acute on chronic renal failure. Patient is an 87 year old Caucasian male who has a history of hypertension, severe peripheral vascular disease, chronic renal insufficiency, and atrial fibrillation. He was admitted yesterday for treatment of an infected toe. The plan was to obtain an angiogram to check patients’ blood flow; however he was discovered on admission labs to have acute on chronic renal failure, patient states he is unaware of kidney problems before. He states he is able to pass his urine without difficulty, no obstructive symptoms, no history of kidney stones, no urinary tract infections, no hematosis, no dysuria, and no diabetes mellitus. Patient states he has a history of hypertension, but it has been very mild. He has had trouble with vascular disease to both legs.…

    • 599 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    The patient , whom I will call Sue, presented in the walk-in Surgery and told me she had had three days of stinging pain on passing urine, increased frequency of passing water and intermittent low abdominal discomfort. She also said that she had a water infection three months previously and that she thought that she now had the same problem. She had tried over the counter (OTC) medications and had increased the amount of fluids she drank with little effect. She said that her abdominal pain reduced after taking paracetamol but reoccurred after a few hours. She requested a prescription of the same antibiotics she had last time she had this problem.…

    • 2805 Words
    • 9 Pages
    Powerful Essays
  • Powerful Essays

    Genitourinary: Case Study

    • 4395 Words
    • 18 Pages

    KIDNEY: (dull constant ache) Not always present if pt has renal disease (don’t have w/ proteinuria or hematuria) Have CVA tenderness (hit hand over kidney), lower abdominal pain, intermittent pain(indicates renal stones), flank pain (side) N/V, diaphoresis, s/sx of shock. Cause: Acute obstruction like stone, clot…

    • 4395 Words
    • 18 Pages
    Powerful Essays
  • Satisfactory Essays

    The patient’s chronic renal failure worsened steadily, with increasing creatinine and BUN and decreasing CO2. At the request of the family no hemodialysis was done. Her chronic renal failure worsened further, and eventually she died at 4:30 p.m., 3 days after admission.…

    • 264 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Test

    • 846 Words
    • 4 Pages

    10) A 25 yr old male has a severe kidney obstruction leading to removal o f the affected kidney, which of the following would be expected to…

    • 846 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Arf Case Study

    • 2509 Words
    • 11 Pages

    As a result of an abnormal abdominal X-ray film, Mrs. Hayes was returned to surgery for a repair of a small bowel perforation. Four days after Mrs. Hayes’s bowel surgery, she developed a gastrointestinal fistula. She was again taken to surgery for repair of the fistula. Post-operatively her blood pressure decreased to 80/52 mm Hg and her urine output was 20 mL/hr, requiring significant invasive monitoring. Mrs.…

    • 2509 Words
    • 11 Pages
    Good Essays
  • Good Essays

    Case Study

    • 546 Words
    • 3 Pages

    Mrs. X, a sedentary 45 year old, is 64” tall, weighs 165.5lbs and has a waist circumference of 37”. At a recent routine checkup with her physician her blood pressure was measured at 135/85mmHg and her blood tests were normal. Regardless, her doctor has suggested she make some changes to her lifestyle to try and reverse the deterioration in her health he has observed since her last visit.…

    • 546 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Background: Chronic kidney failure, describes the gradual loss of kidney function. The kidneys function is to filter wastes and excess fluids from your blood, which are then excreted in your urine.(Mayo Clinic). If and when chronic kidney disease reaches…

    • 509 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    case study

    • 367 Words
    • 1 Page

    His vital signs are as follows: BP 172/100, heart rate 92, and a temp of 102.2 F. The results from the lab results are as followed: RBC 3.1 million, WBC 22,000, K+ 5.4 mEq/L, Ca 6.8 mg/dL, phosphate is 4.3 mEq/L, urea is 37 mg/dL, creatinine 2.0 mg/dL, albumin is 2.9 mg/dL, and pH is 7.29 after these abnormal labs a Chemistry Panel was drawn. Labe results of the Chemistry Panel are as followed: Protein 1.7 gm/24 hours, GFR of less than 30 ml/minute, and urine sediment showed presence of gram negative bacilli, presence of white blood cells, presence of red blood cells, and granular and waxy casts.…

    • 367 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    unit7

    • 619 Words
    • 2 Pages

    People with renal failure and are in the process of dialysis have been known to have several homeostatic imbalances. One of the major effects is electrolyte imbalance and this usually lead to different types of conditions. One of these condition known as hyperkalemia may occur if calcium levels exceed the amount that can be excreted. Another condition that may arise in the course of dialysis is arrhythmias (Elsevier,2013). This can lead to electrolyte imbalance and changes in homeostasis of acid and base. Other issues that can arise related to increased removal of fluid volumes include low blood pressure, cramping as well as muscle spasms. During dialysis, there is a high posibility of damage to the normal net filtration pressure due to increased membrane permeability and this as well leads to homeostatic imbalance.…

    • 619 Words
    • 2 Pages
    Good Essays
  • Good Essays

    F&E Acid Base

    • 1510 Words
    • 7 Pages

    |b. |Your kidneys cannot eliminate extra fluid right now, so |d. |Too much fluid will cause your heart to fail and your |…

    • 1510 Words
    • 7 Pages
    Good Essays
  • Satisfactory Essays

    Vital Signs

    • 575 Words
    • 3 Pages

    PHYSICAL EXAMINATION: Physical exam reveals a well-developed, well-nourished 35 year old white female in a moderate amount of distress at the time of the examination. VITAL SIGNS: Show temperature 97 degrees; pulse 53; respirations 22; blood pressure 108/60. HEENT: Unremarkable except for poor dentation. Neck: Soft and supple. CHEST: Lungs are clear in all ???. HEART: Regular rate and rhythm. ABDOMEN: Soft but positive tenderness of her lower abdominal…

    • 575 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Medical Transcription

    • 659 Words
    • 3 Pages

    PHYSICAL EXAMINATION: VITAL SIGNS: Show temperature 97 degrees, pulse 53, respirations 22, and blood pressure 108/60. GENERAL: Physical exam reveals a well-developed, well nourished, 35-year-old white female in a moderate…

    • 659 Words
    • 3 Pages
    Satisfactory Essays