Nursing care of Kidney Disease Patients on Hemodialysis : case study 2 case

Abstract

Two case studies to studied the nursing care of patients with hemodialysis patients receiving hemodialysis. By purpose selection in patients with chronic kidney disease and acute renal failure undergoing hemodialysis who are admitted to the hemodialysis unit Kalasin Hospital. By studying the patient's history Medical treatment Collect information from patients Relatives and medical records of the patient there are condition assessments, history taking, physical examination to identify problems and needs of the patient. Bring the information Come to make plans for nursing. Establish a nursing diagnosis using Gordon's 11-based health model concept. Orem self-care theory Palliative care there is ongoing evaluation of nursing. Until the doctor goes home.

The study found that

Case Study 1: Female, 79 years of age, had chronic kidney disease. 6 years of hemodialysis. During hemodialysis, there is a complication of low blood pressure.

And after dialysis, there is a problem with the blood stopping slowly. After removing the needle, it takes more than 30 minutes to press the blood. And use drugs together.

There is a problem with permanent veins, the doctor can consider temporary catheterization. Patients and their relatives refused catheterization and requested a termination of dialysis to enter palliative care.

Case Study 2: A 34-year-old male was admitted to Kalasin Hospital with a high fever, chills, shortness of breath, muscle pain, body pain, fatigue, low urination for 3 days, together with a history of swimming at the dam. The underlying condition is Schizophenia. The doctor inserts a temporary catheter and dialysis. There are complications during dialysis: low blood pressure, wheezing, and cardiac arrest.

Was rescued successfully Three times of hemodialysis, totaling 14 days of hospitalization.