VI. PATIENTS DAILY PROGRESS IN THE HOSPITAL 1. CLIENTS DAILY PROGRESS CHART DAYS NURSING PROBLEMS 1.

Activity Intolerance related to weakness 2.Acute Pain 3. Impaired Skin Integrity related to presence of surgical incision in his right neck 4. Ineffective breathing pattern related to oxygen deprivation as evidence by difficulty of breathing * Admission January 6 January 7 January 8 January 9 January 10

* *

VITAL SIGNS
TEMPERATURE PULSE RATE 36.5 90 36.9 99 35.6 90 35.2 95 35.5 75 35.8 91

RESPIRATORY RATE BLOOD PRESSURE DIAGNOSTIC / LABORATORY PROCEDURES 1.HEMATOLOGY

21 120/80

35

30 160/140

20 130/100

25 130/90

29 140/100

Hgb =100 mg/dl WBC= 12.2 Hct= 0.20 mg/dl Platelet count=114

Hgb = 71 mg/dl WBC= 12.2 Hct= 0.18 mg/dl Patelet count= 105

Hgb=85
mg/dl

WBC=7.6 (N)
Hct=0.22 mg/dl Platelet count=96

2Chemical Chemistry

Creatinine= 569 umol/L BUN= 20.0 umol/L

MEDICAL MANAGEMENT
a. IVF, BT 1. D5 .3 NaCl 500mL x KVO (microset) *

PNSS 1L x KVO

2. Blood Transfusion (Type O PRBC)

DRUGS

1.Tranexamic Acid 2. Amplodipine

* * *

3. Clonidine
4. Furosemide 5. Morphine * * *

6. Omeprazole
*

7. Calcium Carbonate
* 8. Ferrous Sulfate * 9. EPO * 10. Paracetamol * 11. Diphenhydramine * * * *

c. DIET
1. Anemic Diet * * * * * *

d. ACTIVITY/ EXERCISE
* * * * * *

1. Complete Bed Rest

with minimal ambulation and tolerable movements

VII. CONCLUSION

While it is true that Chronic Kidney Disease remain a common illness among adults, this does not mean that we will be reluctant in treating and managing this disease. CKD can be fatal if not given much attention due to its complications. Understanding CKD in a broader perspective through this case study is a vital part of being a nurse for the group understood all its aspect, process, manifestation, complication, prevention and management. Preventive measures are still the best option in dealing with Chronic Kidney Disease. Lifestyle changes must be carried out properly in order to decrease the incidence of CKD. Prevention is better than cure.

-Patrick Deang

VII. RECOMMENDATIONS The student nurses recommend this case study to the following:

To the health care providers, that they may render quality care appropriate to the prevention, treatment and cure of diseases, rehabilitation and recovery of those inflicted with diseases and most especially the promotion of health despite challenges and difficulties they may encounter. To the valued university, whom the student nurses dedicate this study, that they may protect those who are under their care and that they may do measures for the casualties not to increase; To the respected clinical instructors, that they may effectively instill the knowledge that is important, the skills that are necessary, and the attitude that must be developed in order to carry out appropriate care and alleviate those who are ill; and To other student nurses, that they may give proper care for their patients wholeheartedly and sincerely, regardless of the monetary value that they may experience.

 To the Government, especially to the DOH, that they may perform their duty appropriately by promoting the health and well-being of the people. They should implement programs such as mothers class and health teachings from responsible and knowledgeable DOH personnel that would educate the people regarding the preventive measures they may do and the signs and symptoms they must take note in order to decrease the prevalence of the disease and to address acute gastroenteritis;

IX. BIBLIOGRAPHY Internet Sources

Book Berman, A. Erb, G. Kozier, B. Berman, A. (2007). Koziers and Erbs Fundamentals of Nursing 8th Edition, Volume 1. Philippine: Pearson Education Southeast Asia Pte. Ltd. (Philippine Representative Office). Weber, J. (2008). Nurses Handbook of Health Assessment Sixth Edition. New York: Lippincott Williams and Wilkins. Black J. (2008) Medical-Surgical Nursing 8th Edition, Volume 1, Singapore: Pte Ltd 3 Killiney Road #08-01 Winsland House I Singapore 239519