By Springhouse
Nurse's 5-Minute scientific seek advice: Multisystem Disorders specializes in nursing care and collaborative administration for a sufferer who offers with an acute affliction that has effects on a couple of physique approach. Coexisting issues that complicate therapies also are mentioned. For greater than seventy five multisystem problems, the booklet offers rapid-reference details together with factors, possibility components, pathophysiologic results by way of physique approach, evaluation findings, diagnostic attempt effects, therapy, problems, care changes, anticipated results, sufferer instructing, and significant alerts.
Charts convey coexisting problems that complicate therapy and valuable care alterations. habitual icons spotlight pathophysiology, warnings, and life-threatening disorders.
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Diseases, 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2006. , and Pinera, C. “Challenges and Future of Renal Replacement Therapy,” Hemodialysis International 10(Suppl 1):S19-23, January 2006. , and Kisel, M. “Utilizing Physiological Knowledge to Care for Acute Renal Failure,” British Journal of Nursing 14(14):768-73, July-August 2005. , et al. “Acute Renal Failure in Critically Ill Patients: A Multinational, Multicenter Study,” JAMA 294(7):81318, August 2005. qxd 8/21/08 5:42 PM Page 31 Disorders affecting management of acute renal failure This chart highlights disorders that affect the management of acute renal failure.
CARDIOVASCULAR SYSTEM ◆ Hypotension may occur early, fol- lowed by hypervolemia as the disease progresses. ◆ Hypertension and peripheral edema occur with hypervolemia. ◆ Heart failure develops as hypervolemia and anemia increase the heart’s workload, resulting in pulmonary edema (complication of heart failure). ◆ Cardiac arrest and arrhythmias may result from hyperkalemia. 42 ACUTE TUBULAR NECROSIS ENDOCRINE AND METABOLIC SYSTEMS ◆ A hypermetabolic state caused by the energy demands promotes tissue catabolism and altered glucose levels.
Provide a high-calorie diet, adequate fluid intake, and bed rest, as needed. 35, normal HCO3– (bicarbonate) in the acute stage, and elevated HCO3– in the chronic stage. ◆ Chest X-ray commonly shows such causes as heart failure, pneumonia, chronic obstructive pulmonary disease (COPD), and pneumothorax. ◆ Serum potassium level is greater than 5 mEq/L, and serum chloride is low. ◆ Urine pH is acidic. ◆ The goal of treatment is to correct the underlying source of alveolar hypoventilation. ◆ Mechanical ventilation may be needed until the underlying condition can be treated.