Nursing care of End Stage Renal Failure with infected Continuous Ambulatory Peritoneal Dialysis patient : Case study 2 case

Abstract

Background : Chronic renal failure is public health problem in Thailand. The Ministry of Public Health and National Health Security Office have policies about peritoneal dialysis of chronic renal failure patients because the important complication of patients in these groups is bacterial infection. And lead to risk of re-treatment and mortality risk. The performances nursing care at the beginning of admit until discharged can help patients getting better, cured, prevent complication and re-treatment

Objective :  to study of nursing care of continuous ambulatory peritoneal dialysis patient with bacterial infection.  

 Methods :  This study was to compare the final stage of patients with chronic renal failure 2 cases with bacterial infection and was treatment by continuous ambulatory peritoneal dialysis at Department of Medicine Mahasarakarm Hospital during January to February 2018. The data collection were use questionnaire, interview their relative, observed and medical records. Data analysis were compare health status, clinical, symptoms, treatment process of final stage of patients with chronic renal failure with continuous ambulatory peritoneal dialysis, problem of nursing diagnosis, nursing care at first admit, duration of care and duration of discharged.

Results : compare 2 cases final stage of patients with chronic renal failure with bacterial infection

Case 1 was male, age 57 years with important symptoms were fever, stomachache, fatigued, turbidity of peritoneal dialysis fluid 1 week before came to the hospital and have been diagnosis for the end stage renal disease  with infected continuous ambulatory peritoneal dialysis.

Case2 was male, age 54 years with important symptoms were fever and turbidity of peritoneal dialysis fluid 1 day before came to the hospital and have been diagnosis for the end stage renal disease with infected continuous ambulatory peritoneal dialysis with septicemia.

Conclusion :  this study revealed that patients with continuous ambulatory peritoneal dialysis were high risk of peritoneal infection. The infection might effect to the level of peritoneal fluid and leads to patient have fluid overload and septicemia. In this case patient should have urgent medical care by evaluated the sepsis status. 

The help patient a nurse should have knowledge to evaluated patient and observe the abnormal symptoms of patients and can help patient in the urgent time to prevent patient from complication and make them have well being.

Keywords : Continuous ambulatory peritoneal dialysis, chronic renal failure , bacterial infection