000564

81 For example, in the case of kidney pathology, the patient’s existing priority problem and the level I nursing diagnosis is severe edema. A potential problem resulting from this is the risk of developing anasarca. Other existing problems and level I nursing diagnoses are painful urination, aching pain in the lumbar region, etc. Possible potential physiological problems – the risk of developing anuria, the risk of developing chronic kidney failure, in bedridden patients-the risk of develop- ing bedsores. Possible potential problems of a psychological nature – for example, fear of cystostomy, fear of decreased potency, incomplete sexual life. Third stage of the nursing process Example: short term goal – after a week the patient noted the disappearance of edema in the feet and hands, reducing facial swelling; long-term goal is by the end of the month will disappear swelling of the face. Planning for edema care: 1. Provide the patient with physical and mental peace 2. By the doctor to use medications (diuretics). 3. conduct dynamic monitoring (counting the amount of liquid and urine con- sumed per day, measuring volumes, weighing), drinking mode. 4. to improve the patient’s well-being, observe the ventilation mode of the room, the UFO of the room. 5. Training at the school of health for patients with kidney and urinary tract diseases. The fourth stage of the nursing process Edema of dependent intervention: nurse will give medicines according to the prescription of the physician; independent intervention: nurse will provide the pa- tient physical and mental rest, will conduct dynamic monitoring, will explain to the patient the need for compliance with drinking regime; observe the mode of ven- tilation, UVI premises; interdependent interventions: the nurse together with the doctor will conduct School health. The fifth stage of the nursing process The goal is achieved if the swelling has disappeared. Emergency conditions in Nephrology Renal colic is the most common symptom observed in a number of kidney diseases, the main manifestation of which is pain in the lumbar region and in the course of the ureters. The most common causes of renal colic are ICD in 70–75%, uric acid diathesis, hydronephrosis, and nephroptosis. As a result, the pressure in the pelvis of the kidney increases, pelvic-renal reflux occurs, the fibrous capsule of the kidney is stretched and pain appears. Pain syndrome occurs in acute viola- tion of the outflow of urine due to obturation of the upper urinary tract concretion,