Question

1,Provide an explanation as to how severe dehydration can cause Acute Kidney Injury (AKI)

2, Describe four (4) nursing interventions in the direct post-angiogram period for a patient who had an angiogram via the right radial artery.  

3,Outline the three (3) actions of insulin on the metabolism of glucose.

Answer 1

1-dehydration is one of the most common cause of acute kidney injury it is caused by decreased blood flow to the kidney usually its happen when the patient has a decreased fluid intake or caused by huge loss of fluid volume it could be either hemorrhagic or by sepsis or any other symptoms like vomiting diarrhoea acute kidney injury is caused by reduced blood flow to the kidney usually someone as another health conditions.

2-bleeding is the most common complication after angiogram nuses is the one of the most responsible person to take care of a patient after post angiogram .nurses has many roles to deal with the patient after angiogram some main responsibilities are mentioned below

A-bleeding is major complications so assess the puncture site check for any bleeding mark the size of the bleeding area so we can find out any for the extension of this bleeding area also not for any hematoma

B-vital science is a important for all patients especially after invasive procedure so check for vitals especially blood pressure monitoring .it is very important check for any fall in blood pressure also monitor the ECG .continuous ECG monitoring is important for monitoring any kind of arrhythmia.

C-assess the patient level of consciousness check for AVPU ascore and record the patient level of response.

D-pain management is is the important aspect of any invasive procedure monitor the pain score and provide anlgesics as prescribed if patient does not reduce the pain after analgesia inform the consultant and explain the patient condition to the doctor

3-insulin has different role in metabolism of glucose

-hleps increase of cellular intake of certain substance like glucose in muscle and adipose tissue

-it increase of DNA replication and protein synthesis by control of amino acid uptake

-it increases the fats synthesis insulin forces cell to take in blood glucose which is converted into triglycerides

-it induces glycogen synthesis when glucose level are high insulin in this is the formation of glycogen by the activation of hexokinase enzymes

-it stimulates the uptake of glucose insulin decreases blood glucose concentration by inducing intake of glucose by the cells