Академический Документы
Профессиональный Документы
Культура Документы
GASTROINTESTINAL
SYMPTOMS
NAUSEA AND
VOMITING
CHRONIC RENAL FAILURE
GASTROINTESTINAL
SYMPTOMS
LOSS OF APPETITE
GASTROINTESTINAL
SYMPTOMS
Infection by bacteria is a It is one of the common causes of diarrhea in Kidney damage is followed by
common reason of diarrhea. Kidney patients have the
CKD. Involved kidneys are unable in expelling reducing function of adrenal
Kidney disease patients with symptom of swelling,
toxins out of the blood, thus accumulation and cortex (hypoadrenocorticism).
low immunity have higher when the symptoms occur
threaten the internal organs including the Hypoadrenocorticism causes
risk of being infected by to large range of patients
bacteria such as Salmonella colon. It will stimulate intestine to speed up to decrease of gastric acid and
and Shigella and Clostridium excrete the toxins. Intestinal contents contact pepsinum, so the absorption body, especially in
difficile the mucosa in such a short time that will function of small intestine intestine. This causes too
influence digestion and absorption. decline. much fluid in intestines
DIARRHEA
DEHYDRATION
CHRONIC RENAL FAILURE
Measure I&O accurately. Weigh Promote good hand washing by patient and
Ascertain understanding of individual daily. Calculate insensible fluid staff.
nutritional needs. losses. Avoid invasive procedures, instrumentation,
Assess weight, age, body build, strength. Provide allowed fluids throughout and manipulation of indwelling catheters
Assist in developing individualized regimen. 24-hr period. whenever possible.
Provide diet modification as indicated.
Monitor BP (noting postural Use aseptic technique when caring and
Determine whether patient prefers more manipulating IV and invasive lines. Change site
changes) and HR.
calories in a meal.
Note signs and symptoms of dressings per protocol. Note edema, purulent
Avoid high in sodium-rich food.
dehydration: dry mucous drainage.
Promote relaxing environment.
membranes, thirst, dulled Provide routine catheter care and promote
Provide oral care.
Provide safety. sensorium, peripheral meticulous perineal care. Encourage deep
Maintain bed rest. vasoconstriction. breathing, coughing, frequent position
Change position every 2 hours. Control environmental changes.
Position the bed into semi-fowlers position. temperature; limit bed linens as Assess skin integrity.
Limit fluid intake as ordered. indicated. Monitor vital signs.
Encourage to do Passive range of motion Monitor laboratory studies Monitor laboratory studies: WBC count with
exercise. differential.
Obtain specimen(s) for culture and sensitivity
and administer antibiotics as indicated.