Nursing care of diabetes mellitus with acute renal failure in Gordon : case study

Abstract

Background : Diabetes Mellitus with Acute Renal Failure (ARF) is a critical condition that bring in body fluid retention, acid-base and electrolyte imbalance, leading to potentially fatal. In order to minimize the risk in such patients, an effective nursing care in crisis, providing information of self care to patients and caregiver is necessary to maintain their functional health.

Objectives : To investigate the progression of diabetic patient with acute renal failure, effective nurse care and outcome so that the guideline and process could be further extended and applied to other patients.

Case study : A diabetic patient with acute renal failure was specifically selected and investigated. The patient was admitted at special medical ward, Sisaket Hospital, Thailand. Patient Medical record was collected and analyzed during August 20^th-29^th.

Results : Prior to admit in hospital, fifty-four year-old Thai female has got watery diarrhea with abdominal cramping, mild fever, malaise and decrease urine output. Physical examination found periorbital edema and tenderness both legs. The diagnosis was acute renal failure. The patient was emergency treated by hemodialysis via left femoral and got better later.  History of illness was Diabetis Mellitus and High Blood Pressure. It was noticed body fluid retention, high blood sugar, fatigue, and pain at left femoral.  It was also detected the electrolyte imbalance, hypertension induced increase intracranial pressure, abdominal discomfort, constipation and increase risk of infection from retain vascular. Finally, the patient was intensively taken care through effective nursing care and was medically safe without any further complication.

Summary : It is noteworthy that planning of effective nursing care, detailed understanding of specific disease together with intensive patient observation are essential in managing diabetic patients with acute renal failure. Subsequently, patients would be medically safe with no further complication.