Acute Renal Failure and Abdominal Aortic Aneurysm Resection—cont'd Discharge Criteria and Post Treatment Considerations + Average length of stay fr stdomial sorts aneurysm repai 57 days out complications: 12.4 days wit complea- tions + Commpletsdcharge teaching (nding diet, wound care, ‘medication, cctv, and folc-up appaitments) + Community fra tion and pastoporatve care support fo home nursing service ‘Questions to Be Considered 4. Compare snd ccnlrat the ethical considerations related to ‘teatment options for clents with ecute renal fare and for those with chronic renal fale. Disouss the nurse's role in assisting cents and families with the resolution ot ethical dlemmas regarding treatment option, 2, Discuss the nutitional and fd replacement considerations ‘neoessary fra postoperative dint who develops acute ra- ‘al fale, Identity nuttional and ud replacerment con- Sderatons thal are necessary for cients receiving diuretic thorapy. 8. Compare and contrast the causes, clinical manifestation, and management of acute renal faiure versus chronic renal failure, entity rsing cara and monitoring of the catheters ‘orevteriovencus fistulas used forthe varius ypes of dicks 4, Ranty the nursing measures used to monitor cent’s uid and oletolyte situs (Le. uid balance, sodium, potassium, ‘calcium, chosde, magnesium, and phosphorus), 5, Discuss the nursing measures used to prevent seconcary in fections for lions with acute rnal fala, Int th fax- ‘ors that place these cients at greater rk fr secondary in- foctions 6, Compare and contrast hamodiaiyss and parton Identity Factors that made Mr Carson ineligible for sali, 7. Identity cesses of cugs that may be nephvotox the rationale and implications forthe use ofthese lionts wth ronal fur. Major arteries of the chest anc abdomen, (Modi ‘Thibodeau, G.A., & Patton, K-T (2003). Anatomy jology [Sth ed.’ St. Louis: Mosby. Iustraed by Cousins {5p Blood presste BUN, bead urea ntogen; CBC, compete blood count NT, eyes, eas, rose, hoa; Hb emoglobh Het, neato so; LOG, evel of conscousrs; NG. nasogasic; NS, noml sls; FERALA. puis wal rund sat Ht, acommodatn BC, el Dood ca cour); TF, temperature, pus, respons, WBE, white Diao eal cout,Caron 70-year res farmer whos browgtin by ‘sad toa anal nu hepa He compan fa borat ominalpain hat rates the othe bck comput twmoyapy (CT stan ofthe abdomen coeds a sting a ‘sind neu. MCs ann oan be hep or “omorenc ricaton of te anauysm, Complains encour tered in sugery reat that th arabe cross camped fo a ruber lous Wipe id procs re asiistrd tore face thot ot trgh hrerage Mr Can admit o th science unt proper ca and ting, Initial Postoperative Orders ut ptepeave wil sgn montonsg Nari rin ouput head cal es thn 5 igh ‘5% dose 0.2% nxn sare (0-0 25% NS) a 150 mir Cefn acum ret 1g q8 Wr Narpine ate t04 mg Wa 1h needed (pr fr pin (heck metabolic hemi panel and CEC nm “Tu coug, nd deep reste q2 hr Incentive sprees rw aah NG bo tw inert sutn iat pn Nursing Admission Assessment Carson is rogay but as arusabl Hs ie of 45 yeas Isat is tee, Serato et Mt Caran expres et roto them ep ins ying od” sul happen, ‘She repos hater hustand pet ad been mgood ea an was eying emer and he ganchen. He was ‘tes der but dl ot we tbo. ‘Nursing Physical Examination Hs 6 eet ‘Wert 17516795 hp ial sigs BP 10/60, TR 96.9, 12,14 100: Grogy bt erase ENT PERRLA (Cera: Sins tacncarda: 8, and, ea ase ton bs er murmurs Paina: Bret sounds diminished toughont ‘eon, NG tube in lace end dining smal amounts of brow range age abdominal res nlc; bomen fin bowel ones aent entoiay Fle cas alr ton Pesta ue: 27, mo ede ok I pice oraning car, ras Acute Renal Failure and Abdominal Aortic Aneurysm Res Troupoet th ig Carkars un xpi cropped ane tho colrchanpd to afcambar By & at Mt Carbon sure od putwas aging 3 to 40 ml H was copay wel wih tuning and had recived morpho onan howl bas, wich vias soins pl. Hs neh oma Sy kt, and to NG tainagoctange to gon b-clred uit Mc Carbo’ shdamen remained and who bone! curds. The fu abratoy spacimens wera drawn as odd, aang ho flowing partners, as Laboratory Values aC: 20 milena? Ho: 0094 Hee 908 Woe: 13.000/nm Su: 145 EOL. Cane: 105 my Petassm-$8 még. Crate 2.6 m/l BUN 47 mo Consider the pathophysoge causes ofthe abnrmaiee ted ine at eesry vas, Inte net 48 hows, Mr Cars wine aut canine io inde nd is potest, cresting, and BUN coined 0 ike Mr, Calon hae become ices conse, end the ctr have fred to Mr. Cnt ite consent fr vans trestmens hc Cron sargean ordered neprloy consul tain, ad the don as een made to tart hemody A pine Intsion tas een sted st fe rena peresen osge, nd ete teepy has bon ined. Coie Mi, C's wes to haven here measures Daly is peomed in Mr ars rom everyday forthe fr day an the every tery forte net week. Mr Ca sr ite ost increases, and is tad an une ches elves reflect a retur of marl renal fincton. Furosemide (Las at 80 ma trce a days ttt, and Hemodialysis tiscrue, lt. Cron ie nse to @ maa sue using it Cason bowel tne we eure, but ere balck of pete and tha fo tastes “anny” Mr, Care fens medcatens have been conver oral dang. Rk pected tthe ibe csctarged this home ins wl care Bl yess UN oo wba noo CB, conte Hon cau NE pe rs, erat Reno et Nena: ‘et LOG tl escheat lens PALA ut eae o aan es eo RC end a st TR ema, pl ees Easel Cu.