Renal Case Study Discussion 5
Carmelita Gomez, age eight, is dropped at the Kids’s Clinic by her mom as a result of she is nauseated and has vomited thrice up to now 24 hours. Her urine has turned “tea coloured”. Carmelita is torpid and he or she is complaining of diffuse stomach ache. Ten days in the past she had a sore throat and fever and stayed dwelling from college for 2 days. She was not seen by a well being care supplier at the moment. Upon questioning, Carmelita can’t keep in mind needing to urinate up to now 12 hours. On examination, Carmelita is irritable and listless. She has slight periorbital edema. Carmelita has energetic bowel sounds with no palpable stomach plenty, however she is tender in all 4 quadrants. Carmelita is given a presumptive analysis of poststreptococcal glomerulonephritis (PSGN), pending laboratory exams.
Her laboratory values are:
Serum creatinine: 2.three mg/dL
BUN 26.1 mg/dL
Serum sodium: 142 mEq/L
Potassium four.2mEq
Particular gravity 1.025
Phosphorous: 6.three mEq/dL
Calcium: 7 mEq/dL
UA: hematuria four+, purple cell casts
Antistreptococcal antibody titre: 800U
POINTS TO PONDER:
Which lab values are irregular?
What scientific manifestations correspond to the irregular values?
Describe the adjustments (pathophysiology) within the physique inflicting every irregular worth and hyperlink the worth to a scientific manifestation current within the affected person?
Which values are inside regular limits?
What nursing care must be applied?
Present one nursing analysis applicable to this affected person.
Studying
Urinalysis p.1146 (Leeuwen, pg. 546-552)
Tradition p.230
Kidney stone Assessment p.696 (Leeuwen, pg. 61,265,426,444)
Case Study Rubric
Standards
Irregular Values
What do the labs point out particular to this affected person
values and indicators and signs
The connection between the irregular Indicators & Signs and lab values is clearly demonstrated. **Should be particular**
Pathophysiology used to exhibit connections between lab outcomes, manifestations and illness course of.
Anticipated care to be given for exhibited s/s and lab values. Anticipated correction of lab values based mostly on care given. Affected person schooling to stop recurrence of irregular lab values.
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Discussion of Renal Case Study 5
Discussion of Renal Case Study 5
Carmelita Gomez, eight, is taken to the Kids’s Clinic by her mom as a result of she is sick and has vomited thrice within the final 24 hours. Her urine has turn out to be “tea coloured.” Carmelita is sluggish and complaining of diffuse stomach ache. She had a sore throat and fever ten days in the past and missed two days of faculty. On the time, she was not seen by a well being care supplier. Carmelita can’t recall needing to urinate within the earlier 12 hours when questioned. On examination, Carmelita is irritable and listless. She has slight periorbital edema. Carmelita has energetic bowel sounds with no palpable stomach plenty, however she is tender in all
