Chronic Polynephritis

Left Kidney Prob.

Secondary to
Nephrectomy Right
Kidney
 O
ROM


OOK

heidneysmaintainthepurityandconstancy
ofourintestinalfluids,areperfectexamplesof
homeostaticorgans.Kidneysfiltergallonsoffluid
fromthebloodstreamallowingwastesandexcess
ionstoleavethebodyinurinewhilereturning
neededsubstancestothebloodin usttheright
proportions.Kidneysarelocated
thelowerbac.
Small,darredorganswithaidneybeanshapelie
againstthedorsalbodywallinaretroperitoneal
position.

heidneysextendfromthe
totheL3vertebra.

heyreceivesomeprotectionfromthelowerpart
oftheribcage.Rightidneyispositionedslightly
lowerthantheleft.

he bladder holds the urine until voiding occurs.
he
duct from the bladder to the urinary opening is
called the urethra.
n the male, it passes through the
penis; in the female, in front of the anterior wall of
the vagina.
ach idney contains over a million tiny structures
called nephrons which are responible for forming
urine.
P

N
SO

Ä Name:R.O.
Ä ge:
Ä ender:Male
Ä Religion:RomanCatholic
Ä Ox:ChronicPolynephritisLeftKidney
Prob.SecondarytoNephrectomyRight
Kidney
—
  
 





Ä ypertension
Ä sthma
Ä Oiabetes mellitus
Ä llergy
Ä Pulmonary
uberculosis
 OROON SNC

ON LP

RN
 L
 PRCP

ON

he client verbalizes ³_
    
,´
which indicates that no matter how hard his
situation is, he still have a positive health outloo.
e perceives that he can still recover. e
continuously drin the medicines and ordered.
he
appropriate foods prescribed by the doctor. e had
difficulty managing his self care needs such as
eating, drining, taing a bath, and defecating. is
relatives were his means of altering his needs. e
also had difficulty in taling and understanding
some questions.
N
R


ON L M
OL
C P

RN
Since the client had undergone two idney surgeries
many foods were prohibited before. low salt, low
cholesterol and uremic diet was recommended. e
was able to eat the foods given to him but vomits
sometimes.
L
M
N

ON P

RN

he client was connected to a catheter for he cannot
urinate. Ouring our shift, his urine was noted to be
yellow with some presence of whole particles.

here were no presence of bleeding in his feces.
SLP-RS
P

RN
Wehaveobservedthattheclientloosweaand
fallsasleepmostofthetime.esleepsbyPMand
heisusuallydisturbedwhentaingmedications.
CON


PRCP

ON

heclientwasabletoanswerthequestionsased
buthaddifficultytaling.isrelativeswerethe
onesanswering.venthoughhisconditionislie
this,hecanstillfollowinstructionscorrectly.
ROLRL

ONS
PP

RN
ehadtwowives.
heyhadonechildandhisfirst
wifedied. tpresenthehaschildrenonhis
secondwife.ewasthebreadwinnerofthefamily
butstoppedduetohisoldage.Whenhewas
confinedinthehospital,hisrelativesandfriendsare
alwaysvisitinghimforhecommunicateswiththem
effectively.
S L


Ouetohisoldageandhissicnesshissexualneeds
arenotmet.edivertshisattentiononhowhewill
recoverfast.
COP
N-S
RSS
OLR NC
ecopesupwithstressbysleepingandresting.
 L-L
P

RN

heclientisaorn gain.eishopingand
prayingforguidanceandrecoveryfromhisillness.
OR
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ONS
S: CO, OSR

O: P: 3 mmg

R: 8 bpm
RR: 8 bpm

MP: 3.8 C
- S, PPC, (-) C O
-SL, CS, (+) CR CKLS, Ļ S
- P, NRM, (-)
-N S, SO

-P, no cyanosis, (-) edema
: tc PN , RLO P
 cute Pyelonephritis
P: R
, NaCO3, rinalysis
L OR
OR
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Ä L
R SONOOK
ONS NOL OOR

MPRSS
ON:RenalCorticalcystleftupperrole
ofnephrolithiasisleftlowerroleabsentrightidney
statuspostnephrectomy
Ä WC-.4NORM LR N:-
Ä RC-3.NORM LR N:4.-.
Ä MOLO
N-.NORM LR N:3-
Ä M
OCR

-.8NORM LR N:4-4
Ä LOOO NKRhtyping(+)
loodtypeO
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