Nursing care for end stage chronic renal failure patients with respiratory failure who received peritoneal dialysis

Abstract

This study aimed to study the nursing care for end stage chronic renal failure patients with
respiratory failure who received peritoneal dialysis
Results: A monk patient, 45 years old, Thai nationality, Thai nationality, was admitted to Ban
Mee Hospital on July 14, 2021 with the symptom of breathless abdominal pain, nausea, and
vomiting for 1 day before admission to hospital. The patient has a congenital disease as diabetes
and high blood pressure for 4 years and did not take medication regularly. Doctors diagnosed that
patient has end stage renal disease with volume overload. Patient was admitted in the male internal
medicine ward. Patient has a symptom of coughing, unable to lie down, the swollen of eyes and
face area, pitting edema of legs. From chest x-ray, the results showed both lung infiltrate, alveola
edema, cardiomegaly. The patient was received nursing care to reduce water overload and
intubation for 7 days to prevent hypoxia. After that, the patient was received the surgery and inserted Tenckhoff catheter on July 23, 2022. After surgery, the complications from peritoneal dialysis tube
insertion was careful surveillance. Patient is safe without complications from surgery and dialysis
tests and good balance of water and electrolytes in the body. The patient was discharged on July
30, 2022, total hospital admission of 16 days. From follow-up treatment, the patient was taught
peritoneal dialysis for 3 times. After patient discharge, abnormal symptoms of patient were not
found.