Nursing Care of Patients with Acute Kidney Injury Receiving Acute Peritoneal Dialysis :A case study 2 case

Abstract

Acute Kidney Injury is the condition which a kidney malfunction rapidly in a few hours or a few days, causing the waste remained in the body. Such a condition is considered as an important problem and often found in critical patients. Since the number of patients with the Acute Kidney Injury appears high, a proper renal replacement therapy becomes a major factor increasing the possibility of surviving. Acute Peritoneal Dialysis for the critical patients is a renal replacement therapy which is greatly effective for the critical patients since its process is not complicated, inexpensive and ineffective for blood circulation. Therefore, nurses need the understanding of the injury, treatment and Acute Peritoneal Dialysis for providing the appropriate nursing care. The patients with the proper nursing care are also safe from complications and away from the risk of death. The researchers conducted a comparative case study of 2 patients with Acute Kidney Injury; one is the patient with the condition of Sepsis and the other one with the condition of Cardiogenic Shock. Both of them are receiving Acute Peritoneal Dialysis. The study can be a guideline for further research.

A case study: It is a comparative case study of 2 patients with Acute Kidney Injury. The patients showed respiratory dyspnea, restless with Hyperkalemia, Severe Metabolic Acidosis. They were received  Acute Peritoneal Dialysis. The two patients were cared with a holistic nursing care and evaluated health according to the health plan of Gordon. The researcher used the nursing diagnoses to deal with problems and to meet the needs of the patients.The two patients’ health conditions turned better, so one of them was transferred to a hospital near home and had an appointment for the follow-up treatment in 2 weeks. The other patient, however, was allowed to come home and had an appointment for the follow-up treatment in 3 weeks.