1. What will be your strategy to improve his fluid and diet intake. 2. Which foods will you recommend for more consumption? 3. Which foods will you ask him to avoid?
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Sex : male
Age : 76 years
Height : 5 feet 4 inches
Weight : 87 kg
Activity : sedentary
Symptoms : viral fever and is severely dehydrated.
Clinical picture
Urine output : Nil
Blood pressure : 200/100
BUN : 27 mg/dl
Creatinine levels: 8.7 mg/dl
Diagnosis : acute renal failure
Other symptoms: unable to eat since he feels nauseated
Treatment : intravenous oral fluids and undergoing dialysis
1. What will be your strategy to improve his fluid and diet intake.
2. Which foods will you recommend for more consumption?
3. Which foods will you ask him to avoid?
Step by step
Solved in 2 steps
- NURSING DIAGNOSIS list) - Risk of fluid volume depreciation as evidenced by nausea, vomiting, anorexia & reduced fluid ingestion. - Imbalanced nutrition less than body requirements as evidenced by difficulty to eat/digest food secondary to dysphagia & evidenced by weight loss & physical examination - Deficient knowledge related to nutrition as evidenced by consumption of IBS(Irritable Bowel syndrome) triggering foods. - Acute pain related to abdominal cramps as evidenced by the patient’s facial grimace. 1. What type of goal should be established? Short term Long term 2. In writing the goal for the top priority problem, what components should be included? Subject Verb Conditions or Modifiers/ Effects of interventions Criterion of desired performance/ Expected outcomes 3. What goal now can you formulate following the above components to resolve the top priority problem mentioned? 4. What specific objectives can you set to achieve the goal you have formulated?…NURSING DIAGNOSIS list) - Risk of fluid volume depreciation as evidenced by nausea, vomiting, anorexia & reduced fluid ingestion. - Imbalanced nutrition less than body requirements as evidenced by difficulty to eat/digest food secondary to dysphagia & evidenced by weight loss & physical examination - Deficient knowledge related to nutrition as evidenced by consumption of IBS(Irritable Bowel syndrome) triggering foods. - Acute pain related to abdominal cramps as evidenced by the patient’s facial grimace. 4. What specific objectives can you set to achieve the goal you have formulated? 5. What type of objectives you have identified: Cognitive Affective Psychomotor 6. What do you think is the first concern/issue that should be addressed to achieve the goal. Do you think this should be your first objective? 7. Arrange the remaining objectives according to proper sequencing and time order, guided by the intent to eliminate the factors that are causing the problem…(NURSING DIAGNOSIS list) - Risk of fluid volume depreciation as evidenced by nausea, vomiting, anorexia & reduced fluid ingestion. - Imbalanced nutrition less than body requirements as evidenced by difficulty to eat/digest food secondary to dysphagia & evidenced by weight loss & physical examination - Deficient knowledge related to nutrition as evidenced by consumption of IBS(Irritable Bowel syndrome) triggering foods. - Acute pain related to abdominal cramps as evidenced by the patient’s facial grimace. 1. What type of goal should be established? Short term Long term 2. In writing the goal for the top priority problem, what components should be included? Subject Verb Conditions or Modifiers/ Effects of interventions Criterion of desired performance/ Expected outcomes 3. What goal now can you formulate following the above components to resolve the top priority problem mentioned?
- (NURSING DIAGNOSIS list) - Risk of fluid volume depreciation as evidenced by nausea, vomiting, anorexia & reduced fluid ingestion. - Imbalanced nutrition less than body requirements as evidenced by difficulty to eat/digest food secondary to dysphagia & evidenced by weight loss & physical examination - Constipation related to immobility secondary to a sedentary lifestyle as evidenced by straining during the passage of stools & absence of bowel movements for 5 days. - Acute pain related to abdominal cramps as evidenced by the patient’s facial grimace. 1. What type of goal should be established? Short term Long term 2. In writing the goal for the top priority problem, what components should be included? Subject Verb Conditions or Modifiers/ Effects of interventions Criterion of desired performance/ Expected outcomes 3. What goal now can you formulate following the above components to resolve the top priority problem mentioned?Discuss one pathophysiology disease of urinary system. Thank youUrine Color Changes with Commonly Used Drugs I. Matching Type: Match column A with Column B. Write the answer before the number.
- A 29 years old female, married, G1PO AOG 16 weeks, complained of vague abdaminal wall pain for 3 days, with slight fever and urgency. She took Paracetamol 500 mg and there was temporary relieved of symptoms. A few minutes prior to consultation, she noticed blood tinged urine. Husband is an overseas worker (Seaman). What is the probable clinical impression on consultation? Acute cystitis. hemorrhagic Acute pyclonephritis complicated Acute pyelonephritis uncomplicated Acute urethritis syndromeDiscuss the risk factors for urinary tract infections that are hospital-related.CASE: URINARY TRACT INFECTION A 27-year-old woman comes in with a prescription for nitrofurantoin tablets 50 mg q.d.s. for three days and requests to speak with the pharmacist. She explains that her doctor tested her urine with a "colored strip" and diagnosed her with a urinary tract infection (UTI). She is experiencing significant discomfort when urinating due to a burning/stinging sensation, and her doctor has advised her to purchase Effercitrate over the counter. A friend suggested she also buy cranberry juice. 6. Aside from nitrofurantoin, list and describe other antibiotics used to treat urinary tract infections. 7. What lifestyle advice can be offered to patients with cystitis? 8. The following are some UTI myths; discuss whether they are true or not. a. UTIs are spread through sexual partners.b. A UTI can be avoided by drinking cranberry juice.c. UTIs can be avoided by wiping from front to back, avoiding tight clothing, and urinating after intercourse.d. A high salt diet…
- Discuss the pathophysiology of Chronic Kidney Disease (CKD).List four factors that increase the likelihood of developing a urinary tract infection.Case study: 22 year old women (previously adopted, not currently taking medications, negative medical history) presents with... ... hypertension and hyperkalemia. She has normal renal funtion (low urine potassium) and metabolic acidosis. What is the diagnosis?
