Nursing Care for Patients with End Stage Renal Disease having Peritonitis form Continuous Ambulatory Peritoneal Dialysis : 2 Case Study

Abstract

     The purpose of this case study is to study nursing care of patients with end-stage chronic kidney disease who received continuous peritoneal dialysis who had peritoneal infections. Two case studies were used using the concept of patient assessment according to Gordon's 11 Health Patterns To find problems and needs of patients Follow the 5-step nursing process. This study was a comparative study of nursing care for patients with end-stage chronic kidney disease who received continuous peritoneal dialysis who had peritoneal infections. who received treatment at the male medical ward Sirindhorn Hospital Khon Kaen Province.
     Result : It was found that both case study patients presented with abdominal pain. Cloudy dialysis solution Treat with antibiotics But Patient 1 had a rapid spread of infection in his abdominal cavity and had a fever. After receiving antibiotics, his symptoms did not improve. The dialysis line was removed. and temporarily changed the treatment to hemodialysis with a hemodialysis machine As for the second patient, who had no fever, he was reviewed and encouraged to take care of himself. Until the patient's symptoms improve, they can continue dialysis at home. In nursing the two patients, it was found that the severity of complications from infection and the difficulty of nursing were different. It depends on the delay in accessing services when symptoms occur. Diagnosis, treatment and ability to perform peritoneal dialysis for patients