531 CASE SCENARIO. ACUTE KIDNEY INJURY/ RHABDOMYLOSIS.( ICU transfer to Medsurg)

Acute Kidney injury is a condition in which the kidney simply cannot filter out waste.It is also referred to as acute renal failure. It can last from few hours to few days.Because the kidney is not performing well,it leads to a build up of waste products in the blood and will prevent the balance of Fluids in the body.

It is common among ICU patients and older adults.

What Causes it?.

1.Inadequate supply of blood to the kidney.

2.Kidney damage.

3.Urine blockage due to kidney damage.

Signs and Symptoms.

1.Swelling of the lower extremities. 2.Insufficient urine.

3.Tiredness for no apparent reason.

4.Shortness of breath.

5.Some confusion

.6. Seizure disorder.

7.Chest pain.

Some people might have no symptoms.

Functions of the kidneys.

The kidney is 11cm long and 5to 6cm wide.

It is responsible for balancing of solutions, excretion of waste products, water transportation, conservation of nutrients. Regulates the body acids and base.It regulates blood pressure, production of electrolytes and calcium metabolism. The kidneys do lots of work in your body and cannot afford not to function because there will be back up of waste products. ( High ammonia level)

KINGDOM OF GOD HOSPITAL LOS ANGELES CALIFORNIA 900000.

INTERDISCIPLINARY KARDEX.

Age/Sex: 39years old man.

Account number: Q009115328.

MR #Q00058867524.

Admission date: June 10th 2021@04am.

Status: Inpatient admission.

Location :MedTelemetry.

Room 42114.

Attending doctor :Tommy Holbib.

Patient name: Green River.

Resuscitation Status: Full code.

Primary diagnosis Acute Kidney injury. Secondary diagnosis: Hypertension, Etoh/ Meth abuse. Confused. ( sitter room)

Height: 5feet 6inches.

Weight:155lbs.

Allergy : NKDA.

Transportation method: Wheelchair.

Isolation Status: Standard Precautions.

Is patient at risk for fall: No.

Do patient have advance Directive: No.

Copy of advance Directive on the chart.

Risk for suicide: No.

Doctor orders:

0.9NS at 75ml/hour right forearm 18guage clean/Patent/Dry.

CIWA-AR Protocol.

Vancomycin 1gm IV Q12hours.

Rocephin 1gm IV Q24hours.

Trop(+)

Nephrology consult pending.

Straight catheter Q6hours if patient output is less than 250 in 8hours.

Bladder scan Q6hours before straight catheter.

WBC: 16.5.CK >138.

Magnesium 1.8 replaced.

K:3.8.NA: 140.

Laboratory test in am.

CBC with differential.

Comprehensive Metabolic panel, Coag,ESR.

Ambulates with steady gait.

Ativan 1mg IV Q4hours prn agitation.

Ativan 1mg po Q8hours scheduled.

Norco 10/325mg po Q4hours prn pain.

Motrin 400mg po Q6hours prn temperature. Morphine sulfate 1mg IV Q8hours prn severe pain.

02 @ 2liter NC discontinued sat 98%°F RA.

https://www.amazon.com/Nurses-You-Move-Philomena-Okeke/dp/1533515778?ref_=d6k_applink_bb_dls&dplnkId=07727c4b-11c9-4d2d-b3d5-677ad5f13c83#

My.clevelandclinic.org

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

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