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    Mmward NCP1

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    Vincent Hermano
    1. The 55-year-old client was admitted to the hospital for vomiting and was diagnosed with uremic gastropathy secondary to chronic kidney disease from urate nephropathy. 2. The client is at risk for infection due to accumulation of uremic waste products in the blood as shown by elevated BUN and creatinine levels. 3. Over 5 days of nursing care focused on reducing infection risk through handwashing, oral hygiene, skin care, nutrition, and turning, the client will understand their condition and risk factors and be able to identify interventions to prevent infection.

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    Mmward NCP1

    Uploaded by

    Vincent Hermano
    93 views3 pages
    1. The 55-year-old client was admitted to the hospital for vomiting and was diagnosed with uremic gastropathy secondary to chronic kidney disease from urate nephropathy. 2. The client is at risk for infection due to accumulation of uremic waste products in the blood as shown by elevated BUN and creatinine levels. 3. Over 5 days of nursing care focused on reducing infection risk through handwashing, oral hygiene, skin care, nutrition, and turning, the client will understand their condition and risk factors and be able to identify interventions to prevent infection.

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    MMWARD NCP1

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    1. The 55-year-old client was admitted to the hospital for vomiting and was diagnosed with uremic gastropathy secondary to chronic kidney disease from urate nephropathy. 2. The client is at risk for infection due to accumulation of uremic waste products in the blood as shown by elevated BUN and creatinine levels. 3. Over 5 days of nursing care focused on reducing infection risk through handwashing, oral hygiene, skin care, nutrition, and turning, the client will understand their condition and risk factors and be able to identify interventions to prevent infection.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    93 views3 pages

    Mmward NCP1

    Uploaded by

    Vincent Hermano
    1. The 55-year-old client was admitted to the hospital for vomiting and was diagnosed with uremic gastropathy secondary to chronic kidney disease from urate nephropathy. 2. The client is at risk for infection due to accumulation of uremic waste products in the blood as shown by elevated BUN and creatinine levels. 3. Over 5 days of nursing care focused on reducing infection risk through handwashing, oral hygiene, skin care, nutrition, and turning, the client will understand their condition and risk factors and be able to identify interventions to prevent infection.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Name of the Client: W. R. Age: 55 Y.O.

    Chief Complain: Vomiting Attending Physician: Dr. Jocson/Lavente


    Medical Diagnosis: Uremic Gastropathy 2˚ to Chronic Kidney 2˚ to Urate Nephropathy Date of Admission: Sept. 25, 2010

    Assessment Nursing Diagnosis Rationale Outcome Nursing Justification Evaluation


    Intervention

    Actual/Abnormal Risk for infection r/t Uremic After 5 days of nurse- Independent:
    Cues: accumulation of Gastropathy client interaction, the 1. Require good 1. Prevents cross-
    uremic waste client will be able to: handwashing contamination and
     BUN-30 mmol/L products 1. Understanding of protocol for all reduce risk for
    (N=1.7- Accumulation of individual personnel and infection.
    8.3mmol/L) uremic waste causative visitors.
     Creatinine- products factor/risk 2. Inspect oral 2. The oral cavity is an
    645.9mmol/L (Uremia)in the factor(s). mucous excellent medium for
    (N=53- Definition: At blood membranes. growth of organism
    132.6mmol/L) increased risk for Provide good oral and is susceptible to
     Low levels of being invaded by 2. Identify hygiene. Use a ulceration and
    Hgb-74 (N=130- pathogenic organisms Increase BUN and interventions to soft toothbrush, bleeding.
    180) and Creatinine prevent/reduce risk sponge, or swabs
    lymphocytes -7% of infection. for frequent
    (N=25%-35%) mouth care.
     Altered level of Sources: 3. Provide 3. Reduces skin/tissue
    consciousness Risk for infection 3. Demonstrate meticulous skin breakdown and
     Many bacteria on Doenges, Moorhouse, techniques, care. infection
    U/A results Geissler-Mur,2004, lifestyle changes to 4. Monitor vital 4. Reflective of
     Temperature of Nurse’s Pocket Reference: promote safe signs especially inflammatory
    37.6˚C Guide: Diagnoses, environment. temperature. process/ infection,
    Interventions and http://www.kosmix. requiring evaluation
     Highest BP of th
    Rationales, 9 ed. com/topic/Uremia/o and treatment.
    180/100 mmHg
    verview/adam20? 5. Encourage intake 5. This maintains
    fdid=Adamv2_000 of protein- and optimal nutritional
    508&section=Full_ calorie-rich foods. status.
    Risk Cues/Related Article.html 6. Encourage 6. These measures
    Factors: frequent turning reduce stasis of
    and deep secretions in the
     Medical breathing. lungs and bronchial
    diagnosis:Uremic tree. When
    Gastropathy 2˚ to stasis occurs,
    Chronic Kidney pathogens can cause
    2˚ to Urate upper respiratory
    Nephropathy infections, including
     Alcohol drinker pneumonia.
    and smoker
     Reason for
    admission: Collaborative:
    vomiting 1. Obtain specimens 1. Verifies presence
    for culture and of infection,
    Strengths/Wellness: sensitivity, as identifies specific
    indicated. pathogen and
     Strong family influences choice
    support of
     Ambivert treatment.
    personality 2. Administer 2. May be given
    antibiotics as prophylactically
    indicated. or to treat specific
    infection.

    Reference:
    Doenges, Moorhouse,
    Geissler-Mur,2004,
    Nurse’s Pocket Guide:
    Diagnoses, Interventions
    and Rationales, 9th ed.

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