Nursing care of high risk kidney disease patients on hemodialysis : case study 2 case

Abstract

     This study is a case study. have a purpose To study the progression of the disease Compare nursing diagnoses nursing practice and nursing results This is a case study of 2 cases, specifically selected in patients with acute kidney failure and patients with end-stage kidney failure who received kidney replacement therapy by hemodialysis combined with chemotherapy. who received treatment in the hemodialysis unit Special Nursing Examination Group Kalasin Hospital. Data were collected from medical records. Interviews with patients and relatives combined with observation. There is a condition assessment, history taking, and physical examination to find out the problems and needs of the patient. Set nursing diagnosis, plan nursing action and evaluate nursing results Use the Gordon Health Model concept. It is a framework for studying. Content analysis.

     The results of the study revealed that case study number 1 was a diabetic patient. Taking medicine to reduce blood sugar levels causes an imbalance of mineral salts in the body, causing the kidneys to lose their function acutely. The problem was solved by hemodialysis using a hemodialysis machine to remove excess mineral salts from the body. Make the patient's symptoms improve The kidneys returned to work better without further dialysis. Case study 2 was in the end stage of chronic kidney failure. Hemodialysis 3 times a week, have problems with anemia. There is blood in the stool. The biopsy results revealed that it was CA sigmoid. She had undergone surgery for colon cancer. After surgery, the doctor continued treatment using chemotherapy. 5-FU/Leucovorin (Day 1-5 ) every 4 weeks, 6 Cycle