Med Surge II
Chris077
MS_II-Peritoneal_Dialysis_Case_Study.rtf
Name:
NGN Case Study
Title: Peritoneal Dialysis
Scenario: A 45-year-old male with a history of hypertension and chronic kidney disease has arrived at the clinic for a follow-up appointment with his nephrologist. The patient’s kidney disease was treated conservatively with drug therapy and diet up until 6 weeks ago, but then it was determined that the patient’s uremia could no longer be adequately managed in that manner. After consultation with his family and healthcare provider, the patient decided to begin peritoneal dialysis (PD). A peritoneal catheter was placed a month ago and the patient has been using an automated peritoneal dialysis system at home since then. After reviewing the patient’s medical record, the clinic nurse performs a physical assessment.
NGN Item Type: Extended Drag and Drop
Use an X to indicate which patient assessment findings require follow-up by the nurse.
Assessment Finding
Assessment Finding that Requires Follow-up
Patient reports lower back pain.
Abdomen is round and soft.
Weight gain of 5 pounds since dialysis began.
Catheter insertion site slightly reddened with small amount serosanguinous drainage.
Patient reports the drained effluent was pink the first 2 days after catheter insertion.
Serum potassium level is 4.2 mEq/L.
Rationale:
Cognitive Skill: Recognize Cues
