Journal Entry renal disorder

Journal Entry: Renal Disorder
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Journal Entry – Renal Disorder
The case I am going to describe entails a 32-year old man who was admitted with nausea as well as vomiting and abdominal discomforts for two days. The patient has a history of alcohol and substance abuse. Despite his medical condition being unremarkable, the patient was not under any medications. Laboratory results showed a serum sodium level of 152 mg/dL, chloride was 124 mg/dL, and potassium was at 2.8 mg/dL and bicarbonate stood at 14mg/dL. The patient’s blood urea nitrogen was 96 mg/dL while the serum creatinine was 3.7 mg/dL. The patient’s urinalysis revealed glucosuria, ketonuria as well as hyaline casts. Moreover, he was hydrated strongly, and he was later diagnosed with acute pancreatitis and diabetic ketoacidosis. After putting the patient through a contrast computed tomography scan, it was evident that there was the presence of strong ascites throughout the abdomen entailing perirenal spaces, transverse mesocolon as well as colonic gutters. The patient’s ileum and sigmoid colon were thickened and left pleural effusion were noticed.
It was apparent that the causative factor of the patient’s acute renal failure was prerenal secondary to lessened circulatory volume. To treat the patient’s prerenal acute failure, the primary objective was to restore the intravascular volume (Nazar, Bashir, Izhar & Anderson, 2015).

This was achieved through the administration of isotonic; normal saline intravenous fluids (Allbee et al., 2012). The diabetic ketoacidosis, as well as acute pancreatitis, were treated appropriately. After the medication, the patient improved dramatically, and the urine output increases, as well as renal function, improved (Macedo & Mehta, 2014). In the case of this patient, the return of renal function to the normal baseline was realized within 72 hours. Notably, we had to adjust the doses and avoid nephrotoxic medications appropriately. The patient was advised to look follow up after three weeks and seek the services of a nutritionist and undergo therapy sessions to overcome his drinking problems.
References
Allbee, B., Marcucci, L., Garber, J., Gross, M., Lambert, S., & McCraw, R. et al. (2012). Avoiding Common Nursing Errors. Philadelphia: Lippincott Williams & Wilkins.
Macedo, E., & Mehta, R. (2009). Prerenal failure: from old concepts to new paradigms. Current Opinion In Critical Care, 15(6), 467-473. http://dx.doi.org/10.1097/mcc.0b013e328332f6e3
Nazar, C., Bashir, F., Izhar, S., & Anderson, J. (2018). Overview of Management of Acute Renal Failure and Its Evaluation; a Case Analysis. Journal Of Nephropharmacology, 4(1).