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    Renal Concept Map

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    Shaira Ann Calamba
    A 37-year-old man with chronic renal failure secondary to chronic glomerulonephritis had been undergoing peritoneal dialysis for 6 months. He was admitted to the hospital for fever, vomiting, abdominal pain, and cloudy dialysate after eating stinky tofu. Testing found peritonitis caused by Aeromonas Sobria. He was treated with levofloxacin for 10 days, which relieved his symptoms. However, the peritoneal dialysis catheter became blocked by fibrin clot formation due to inflammation and had to be removed.

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    Renal Concept Map

    Uploaded by

    Shaira Ann Calamba
    123 views1 page
    A 37-year-old man with chronic renal failure secondary to chronic glomerulonephritis had been undergoing peritoneal dialysis for 6 months. He was admitted to the hospital for fever, vomiting, abdominal pain, and cloudy dialysate after eating stinky tofu. Testing found peritonitis caused by Aeromonas Sobria. He was treated with levofloxacin for 10 days, which relieved his symptoms. However, the peritoneal dialysis catheter became blocked by fibrin clot formation due to inflammation and had to be removed.

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    RENAL CONCEPT MAP

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    A 37-year-old man with chronic renal failure secondary to chronic glomerulonephritis had been undergoing peritoneal dialysis for 6 months. He was admitted to the hospital for fever, vomiting, abdominal pain, and cloudy dialysate after eating stinky tofu. Testing found peritonitis caused by Aeromonas Sobria. He was treated with levofloxacin for 10 days, which relieved his symptoms. However, the peritoneal dialysis catheter became blocked by fibrin clot formation due to inflammation and had to be removed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    123 views1 page

    Renal Concept Map

    Uploaded by

    Shaira Ann Calamba
    A 37-year-old man with chronic renal failure secondary to chronic glomerulonephritis had been undergoing peritoneal dialysis for 6 months. He was admitted to the hospital for fever, vomiting, abdominal pain, and cloudy dialysate after eating stinky tofu. Testing found peritonitis caused by Aeromonas Sobria. He was treated with levofloxacin for 10 days, which relieved his symptoms. However, the peritoneal dialysis catheter became blocked by fibrin clot formation due to inflammation and had to be removed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Calamba Shaira Ann V.

    37-year old, M
    BSN 3Y1-3S Diagnostic Test
     Peritoneal dialysis effluent

     down. Man with chronic renal failure who was secondary


    Pathophysiology: caused by bacteria, the physiologic response is to chronic glomerulonephritis had been on
    the
    determined by several factors, including the virulence of the peritoneal dialysis for approximately 6 months
    contaminant, the size of the inoculum, the immune status and overall
    without any episode of peritonitis. In December
    health of the host and elements of the local environment, such as
    necrotic tissue, blood, or bile
    2019, he was admitted to the hospital for fever,
    vomiting, abdominal pain, diarrhea, and cloudy
    dialysate several hours after eating stinky tofu. The
    peritoneal effluent culture yielded Aeromonas
    Sobria. The patient was given levofloxacin for 10 Medications:
    Dx: Peritonitis days. The patient symptoms such as diarrhea,  Levofloxacin
    abdominal pain were relieved and the cloudy
    effluent turned to be clear. Unfortunately, peritoneal
    Medical history: chronic renal dialysis catheter was blocked because of fibrin clot
    failure who was secondary formation in the setting of inflammation, and finally it
    to chronic was removed.

    Risk for decreased cardiac output related to excessive loss


    of body fluids
    Risk for fluid volume deficit related to losses through
    Risk for imbalanced nutrition less than the body
    normal routes as evidenced by vomiting and Diarrhea
    requirement related to vomiting
    Vomiting & Diarrhea

    Vomiting & Diarrhea Vomiting & Diarrhea


     Monitor BP and HR.
     Observe ECG or telemetry for changes in rhythm.
     Auscultate heart sounds.
     Assess and document dietary intake  Assess color of skin, mucous membranes, and nail
     Prepare for IVF replacement
     Provide frequent, small feedings. beds. Note capillary refill time.
     Monitor Input and Output.
     Give patient/SO a list of permitted foods or fluids  Note occurrence of slow pulse, hypotension, flushing,
     Provide allowed fluids throughout 24-hr period.
    and encourage involvement in menu choices nausea and vomiting, and depressed level of
     Monitor BP (noting postural changes) and HR.
     Offer frequent mouth care or rinse with diluted consciousness.
     Note signs and symptoms of dehydration: dry mucous
    acetic acid solution. Give gums, hard candy,  Monitor for GI bleeding by guaiac testing all stools for
    membranes, thirst, dulled sensorium, peripheral
    breath mints between meals. blood.
    vasoconstriction.
     Weigh daily.  Investigate reports of muscle cramps, numbness of
     Monitor laboratory studies
     Monitor laboratory studies fingers, with muscle twitching, hyperreflexia.
     Provide high-calorie, low to moderate protein  Maintain bed rest or encourage adequate rest and
    diet. provide assistance with care and desired activities.
     Prepare for/assist with dialysis as necessary.

     The patient will Display I&O near balance


     The patient will Maintain peripheral pulses strong
     The patient will maintain usual weight and equal with adequate capillary refill time

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