Question

1. Thoroughly explain the function of the Renal system.

2. List 2-3 reason why a patient would get admitted to the hospital concerning your system.

3. Give one (1) Nursing diagnosis. How would you treat the patient and why.

give vitals

nursing diagnosis

Interventions

Answer 1

  1. Thoroughly explain the function of the Renal system.

Renal system helps in:

• maintaining the blood volume and its components (egs.sodium ,potasium and calcium).
• production of red blood cells
• Maintaining acid base balance (PH) of blood.
• Maintaining the blood pressure .
• Elimination of waste products from blood as urine.

2. List 2-3 reason why a patient would get admitted to the hospital concerning your system.

Renal calculi-stones formed in the renal system is called renal calculi,it might need admission in hospital for removal or lysis .patient will be admitted with symptoms of flank pain ,colic ,hematuria,vomiting etc.

kidney failure-Here the people develops decline in the function of renal system and exhibit symptoms like decreased urination(oliguria or anuria),fluid overload (edema),vomiting ,metabolic alkalosis,respiratory symptoms due to overload .

Nephrotic syndrome-nephrotic syndrome is disorder affecting glomeruli and  leads to protienuria.patient exhibits symptoms like edema ,fatigue etc.

3. Give one (1) Nursing diagnosis. How would you treat the patient and why

Nursing Diagnosis:Fluid overload related to Acute kidney failure.

Evidenced with vital signs:(Tachycardia,Dyspnea,hypertension,desaturation,edema)

HR-100 or above (tachycardia)

RR-20 or above (Tachypnea and Dyspnea)

Blood pressure -150/90 or above (Hypertension)

SPO2-90 or below (desaturation)

Interventions and Rationale

• continuous monitoring of vitals to rule out sudden change in patient condition needs critical intervention.
• monitor fluid balance by keeping a strict Intake output chart.it helps to prevent to adjust the fluid intake as per the output and prevent further overload.
• Physical examination to look for edema,skin integrity,heart sounds(crackles) etc.
• Provide oxygen to keep a saturation above 94 % (it may include NIV,or invasive ventilation).As the fluid overload result in pulmonary edema and desaturation .
• Monitor daily weight to monitor gain in the volume .it will give an indirect measurement of edema and fluid overload.
• Perform ABG to findout the PH,bicarbonate level.As the renal failure cause metabolic acidosis and correction will be done based on the PH values.
• Assist physician in performing dialysis line insertion .A central line is needed to get a vascular access for dialysis
• Perform blood investigation at regular intervals to rule out electrolyte imbalance and creatine levels.
• Assist in dialysis prepration.Temporary or Permanent dialysis may be needed for the patient to maintain the functions of body.
• Administer medications like antihypertensives,erythropoietin,calcium carbonate etc as prescribed.