Discussion Reply

Judelain

NUR 502

07/23/2020

Module 4 Discussion

Urinary Function

Acute kidney injury is a very serious illness that can cause chronic kidney failure if left untreated. It often refers or known as acute kidney failure. It usually happens suddenly and often occur in two days or less. If caught quickly, acute kidney injury can be reversible and may not have or cause any permanent damage in the body. Unfortunately for many, permanent damage is inevitable due to poor life choices. The speed by which it is found and treated is the key to limit the damage done. After the kidneys failed the potential problem can be very grave and initial treatment is vital. The accumulation of waste in the body started right away because the GFR might be very low where it does not able to filter waste and electrolytes from the body, which is why most patients suffering from this disease end up in the emergency room for treatment. According to Hamilton (2019), 20 percent of patients admitted to the hospital will develop acute kidney injury, which shows that this disease is usually occur in hospitalized individuals.

Patient J.R. is over 65 years of age and that is already one of the risk factors for acute kidney injury. Usual signs and symptoms for acute kidney injury include nausea, vomiting, inability to urinate, confusion, seizures, fever, persistent fatigue, and weakness. Based on the case and information presented, Patient J.R. acute kidney injury is showing intrarenal conditions. Patients usually the most common signs and symptoms of acute kidney injury, but the patient may be suffering from intrarenal disorders due to the symptoms he presented to his attending physician. The continuous vomiting and fever show that patient J.R. possibly has an infection.

According to Dalili & Kashani (2018), risk factors for acute kidney injury include hypertension, the use of intra-aortic balloon pump, history of congestive heart failure, diabetes mellitus, an age greater than 75 years, certain cancer and their treatments, being hospitalized with a serious condition that requires intensive care. Patient J.R. is showing serious signs of hypoglycemia, which means he is a diabetic patient. For example, the patient is sweating, fatigue, lightheadedness, nausea, and vomiting.

Due to the nontreatment of the acute kidney injury, patient J.R. is now diagnosed with chronic kidney disease which is irreversible and the only treatment for this disease are dialysis and kidney transplant. Unfortunately, the odd might be against patient J.R. because due to his advanced age, he may not be a great candidate for kidney transplant. Chronic kidney disease is a very complicated disease. Detective platelet function with a bleeding tendency is well-known to occur in patients with advanced chronic kidney disease. Dialysis is one of the best ways to treat platelet dysfunction and patient J.R. will be on dialysis for the rest of his life. Patient J.R. will also suffer from iron deficiency anemia due to the deficiency of the glycoprotein hormone erythropoietin. The production of erythropoietin by the kidneys declines tremendously as functioning renal mass declines due to the damages cause by chronic kidney disease.

Reproductive Function

According to the quick guide to (2007), signs and symptoms of chlamydia for women that are younger than 25 years old are purulent vaginal discharge, postcoital/intermenstrual bleeding, mucopurulent cervicitis, inflamed/friable cervix (which may bleed on contact), urethritis, pelvic inflammatory disease, lower abdominal pain in the sexually active, and reactive arthritis in the sexual active. Additional signs and symptoms may include pain during intercourse, pain and burning while peeing, and bleeding between period.

The patient is 19 years old presented with lower abdominal pain and malodorous greenish yellow vaginal discharge, which are part of the major signs and symptoms of chlamydia. Patient P.C. is a heterosexual woman and sexually active with a male partner. The reasons I get to that diagnosis are the signs and symptoms. After multiple researches, I concluded that patient P.C. contracted the sexual transmitted disease chlamydia.

Before diagnosed patient P.C. with chlamydia, the healthcare provider would order a vaginal swab with a cotton to get a sample from her vagina. The result of the test will include white blood cells and gran-negative intracellular diplococci.

According to Pearson, Gift, Leichliter, & Jenkins (2015), chlamydia is the most commonly reported sexually transmitted infection in the United States and timely, correct treatment can reduce chlamydia transmission and sequelae. Patient P.C. needs to evaluate very closely due to her multiple symptoms. The patient will be treated with antibiotics such as azithromycin and a week therapy of doxycycline. For patients diagnoses with chlamydia, gonorrhea often occurs as a coinfection. As a result, the patient will also need to receive treatment for gonorrhea. Her boyfriend also needs to receive treatment due to the likeliness of him being infected.

Treatment is eminent for the patient because delay of treatment can cause the virus to spread to her uterus and fallopian tubes, which can cause pelvic inflammatory disease. PID can cause permanent damage to her reproductive system. She may experience long term pelvic pain, ectopic pregnancy, and infertility. While receiving treatment, patient P.C. should not engage in any sexual intercourse and should wait up to seven days after completed all the antibiotic doses before having sex with her partner. As previously stated, patient might develop other STDs, she should get scream for gonorrhea and wait for about four days to get the results. After completed the treatment for chlamydia, her primary care provider may advise her to be tested again for chlamydia in three to four months, to assure that the disease is completely out of her system.

References Hamilton, M. (2019). Acute kidney injury: a risk scoring system for general surgical patients. British Journal of Nursing, 28(21), 1358-1364. https://doi.org/10.12968/bjon.2019.28.21.1358 Dalili, N., & Kashani, K. (2018). Acute Kidney Injury Risk Recognition in Resource-Sufficient Versus Resource-Limited Regions. Iranian Journal of Kidney Diseases, 12(5), 261-267. The quick guide to…diagnosis of chlamydia. (2007). Pulse, 67(22), 58. Pearson, W., Gift, T., Leichliter, J., & Jenkins, W. (2015). Differences in Treatment of Chlamydia trachomatis by Ambulatory Care Setting. Journal of Community Health, 40(6), 1115-1121. https://doi.org/10.1007/s10900-015-0037-x