Mrs Adams has a five-day history of vomiting due to a ‘stomach bug’ Essay Assignment Paper
Mrs Adams has a five-day history of vomiting due to a ‘stomach bug’ Essay Assignment Paper
Mrs Amy Adams is 74 and has been brought to the hospital for a suspected broken Neck of Femur (NoF). According to her daughter, who arrived with her in the ambulance, Mrs Adams has a five-day history of vomiting due to a ‘stomach bug’. This morning her mother rose from her bed to let her cat out, experienced about of dizziness and lost her balance. She fell over and now has severe pain in her right hip and leg. You notice that she looks pale and her lips are dry. Her daughter reported that her mother had told her that she has hardly urinated in over 24 hours.
4. Make a list of the cues from Amy’s case study and provide an interpretation of, or explanation for, each of these.
5. What changes are happening in Amy’s kidneys as a result of her current fluid balance status? Explain what you would expect in terms of her eGFR, blood results, urinalysis and hormonal responses.
6. For Amy’s IV therapy, state the equipment required, the procedure for establishing her IV line, any precautions that you will take and suggest any indications for concern after the line has been established.
7. Amy is at risk of acute kidney injury (AKI). Explain why. Explain how AKI differs from chronic kidney disease (CKD).
8. Amy also has benign prostatic hyperplasia (BPH). Explain how BPH poses a risk to her kidneys. After problems with urethral obstruction, an indwelling catheter (IDC) is inserted. Explain the procedure, and your precautions and nursing considerations.
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