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    Concept Map Pyelonephritis

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    Molly Hancey Johnson
    The patient has a history of chronic kidney disease and recurrent urinary tract infections. She presented with right flank pain and was admitted with a diagnosis of pyelonephritis. She is being treated with antibiotics and pain medications and is at risk for falls due to her medications. Her kidney function is impaired as shown by her elevated BUN and creatinine levels.

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    Concept Map Pyelonephritis

    Uploaded by

    Molly Hancey Johnson
    4K views1 page
    The patient has a history of chronic kidney disease and recurrent urinary tract infections. She presented with right flank pain and was admitted with a diagnosis of pyelonephritis. She is being treated with antibiotics and pain medications and is at risk for falls due to her medications. Her kidney function is impaired as shown by her elevated BUN and creatinine levels.

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    The patient has a history of chronic kidney disease and recurrent urinary tract infections. She presented with right flank pain and was admitted with a diagnosis of pyelonephritis. She is being treated with antibiotics and pain medications and is at risk for falls due to her medications. Her kidney function is impaired as shown by her elevated BUN and creatinine levels.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    4K views1 page

    Concept Map Pyelonephritis

    Uploaded by

    Molly Hancey Johnson
    The patient has a history of chronic kidney disease and recurrent urinary tract infections. She presented with right flank pain and was admitted with a diagnosis of pyelonephritis. She is being treated with antibiotics and pain medications and is at risk for falls due to her medications. Her kidney function is impaired as shown by her elevated BUN and creatinine levels.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Pathophysiolog y An inflammation of the renal parenchyma & collecting system including the renal pelvis.

    The most common cause of bacteria infection, but fungi, protozoa or viruses sometimes infect Nursing Care the kidney.

    Admitting Diagnosis:
    Pyelonephritis CKD (chronic kidney disease)

    HPI/Diseases: Hx of UTIs CKD (chronic kidney disease) Primary HTN Kidney Transplant in March 2006

    Molly Johnson 10/27/2011

    Medication
    Room: E854 Patient: Hugnkiss, Amanda Age: 42 yrs old Allergy: Amoxicillan, Sulfa Weight/height: 139 lbs; 510 Code status: Full code Advanced directive: In chart Res/MD: McDreamy, Micah (801)403-2132 Admit: 10/26/2011@ 2300 Chief Complaint: R flank pain Precautions: Falls risk d/t meds
    Acetaminophen 650 mg PO Fever and Pain q6h prn *skin rash, hives, bleeding, n/v, loss of appetite, swelling in abd Vancomycin 15mg/kg IV q12h Kidney Infection *Hypotension, bitter tatse, n/v, chills, rash (redman), ototoxicity Pyridium 200 mg PO TID Analgesic, pain *HA, n/v, vertigo, rash, pruritus, discolors urine Norco 5mg 1 to 2 tab PRN Pain q6h *HA, dizziness, n/v, sore throat, SOB, fast

    Vital signs q4h Foley present measure I&O (notify MD if urine output >60 mL in 8 hours) Weigh daily @ 5AM Peripheral IV: left FA, 20 gauge Activity as tolerated with assistance(fall risk) Patient has exhibited mental status changes Tx for pain

    Diet
    Renal deficiency diet

    Labs/Diagnostics
    UA Clean Catch w/ Cx & S ordered 10/27/11 @ 1600 CT w/ Contrast done on admit 10/26/11 @ 2335 results pending Ultrasound done 10/27/11 @ 1620 results pending

    Nursing Dx:
    Ineffective therapeutic regimen Impaired urinary elemination Risk for falls Acute Pain

    Psychosocial Hx:
    Father A/W CHF Mother deceased Liver Ca Married- (Greg) Homemaker Three kids ages10, 8, 3 LDS No Hx of cigarette use, no etOH

    Education
    Involve patients spouse (Greg) Teach about proper diet Teach pt about the importance of hydration

    Lab ValuesHCT 40 (38%46%)WBC22.7H (4.3 - 10.8 x 109 cells/L)BUN45 H(6 to 21 mg/dL)Creatinine2.7 H(0.6 to 1.2 mg/dL)Vanco Trough17 (1520mg/L)Hgb14.9 (12.0-15.5 g/dL)Cya (Cyclosporin)195 (150 to 300 ng/ml)

    Social Hx:

    Discharge
    To Home

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