Molly Johnson

Pathophysiology 10/27/2011
An inflammation of the HPI/Diseases:
renal parenchyma & Hx of UTIs
collecting system Admitting Diagnosis:
CKD (chronic kidney disease)
including the renal Pyelonephritis
Primary HTN
pelvis. The most CKD (chronic kidney disease)
Kidney Transplant in March 2006
common cause of
bacteria infection, but
fungi, protozoa or
viruses sometimes infect Medication
the kidney. Acetaminophen 650 mg PO q6h prn Fever and Pain
*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
Nursing Care *HA, n/v, vertigo, rash, pruritus, discolors urine
Vital signs q4h
Norco 5mg 1 to 2 tab PRN q6h Pain
Foley present measure I&O (notify MD Room: E854 *HA, dizziness, n/v, sore throat, SOB, fast heartbeat, cough
if urine output >60 mL in 8 hours) Patient: Hugnkiss, Amanda
Weigh daily @ 5AM Cyclosporin 50 mg PO BID Kidney Transplant
Age: 42 yrs old * high BP, tremor, hair growth, overgrowth of gum tissue,
Peripheral IV: left FA, 20 gauge
Activity as tolerated with assistance(fall Allergy: Amoxicillan, Sulfa increased levels of cholesterol
risk) Weight/height: 139 lbs; 510
Patient has exhibited mental status Code status: Full code
changes Advanced directive: In chart
Tx for pain Res/MD: McDreamy, Micah Labs/Diagnostics
(801)403-2132 UA Clean Catch w/ Cx & S ordered 10/27/11
Diet Admit: 10/26/2011@ 2300 @ 1600
Renal deficiency diet Chief Complaint: R flank pain CT w/ Contrast done on admit 10/26/11 @
Precautions: Falls risk d/t meds 2335 results pending
Nursing Dx: Ultrasound done 10/27/11 @ 1620 results
Ineffective therapeutic regimen pending
Impaired urinary elemination
Risk for falls Lab ValuesHCT 40 (38%-46%)WBC22.7H (4.3 -
Acute Pain 10.8 x 109 cells/L)BUN45 H(6 to 21
Psychosocial Hx:
Father A/W CHF mg/dL)Creatinine2.7 H(0.6 to 1.2 mg/dL)Vanco
Education
Involve patients spouse (Greg) Mother deceased Liver Ca Trough17 (15-20mg/L)Hgb14.9 (12.0-15.5 g/dL)Cya
Teach about proper diet Social Hx: (Cyclosporin)195 (150 to 300 ng/ml)
Teach pt about the importance of Married- (Greg)
hydration Homemaker
Three kids ages10, 8, 3
Discharge LDS
To Home No Hx of cigarette use, no
etOH