HCA 240 Appendix D

Topics: Chronic kidney disease, Renal failure, Kidney Pages: 3 (743 words) Published: November 15, 2013
Associate Level Material
Appendix D

Read each scenario and write a 25- to 50-word answer for each question following the scenarios. Use at least one reference per scenario and format your sources consistent with APA guidelines.

Scenario A

Acute renal failure: Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output.

1. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom? Ms. Jones’s kidneys are becoming impaired. This is because there was a condition that slowed the blood flow to the kidneys. Heart disease and heart attacks can lead to acute renal failure. Since she had surgery to replace several blocked arteries in her heart this can lead to acute renal failure.

2. What other symptoms and signs might occur?
Some symptoms, other than decreased urine output, that may occur due to acute renal failure are fluid retention, drowsiness, shortness of breath, fatigue, confusion, nausea, seizures, and chest pain.

3. What is causing Ms. Jones’s kidney disease?
The cause of Ms. Jones’s kidney disease is slow blood flow to her kidneys. This could be related to the blocked vessels in her heart and the operation she just went through to repair those damages.

4. What are possible treatment options, and what is the prognosis? There are a couple treatment options. She could have treatment done to balance the amount of fluids in her blood, such as an IV. She could take a medication to control blood potassium or blood calcium levels. She could also have dialysis to remove toxins from her blood. Most of the time treatment for this can repair the kidney in a couple of days. The worst case scenario is this leading to chronic kidney disease.

Reference
Mayo Foundation for Medical Education and Research. (1998-2013). Acute Kidney Failure. Retrieved from...
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