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Chronic Kidney Disease Lab Report

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Chronic kidney disease (CKD) is defined as the irreversible loss of kidney function. Kidney disease is not recognized until there is a significant loss of nephrons. The loss of nephrons results in a decrease in renal function. When the patient’s renal function is decreased the body is unable to maintain a balance between the patient’s fluid and electrolyte. A patient will not be able to dilute his or her urine due the decrease in renal function. There is a decrease in the excretion of phosphate acid, potassium and waste. The increase of phosphates can lead to secondary hyperparathyroidism. Due to the impairment with phosphate and Calcium the patient will have renal osteodystrophy. An increase in the patient’s electrolytes can cause …show more content…

This test was done to determine if the patient had diabetes. There is no trend but the patient does have a history of diabetes but is not getting treated for it. The blood urea nitrogen (BUN) is normal at 16, when the patient first arrived her BUN was 95 mg/dL. The BUN test was done to determine the kidney function of this patient. I expected this lab value based on the patient’s medical diagnosis of chronic kidney disease and end stage renal failure. Also the blood urea nitrogen can be increased due to dehydration. The physician suggest to constantly encourage the patient fluids. Since renal dysfunction was diagnosed the physician placed the patient on a renal carbohydrate diet. This is appropriate because the kidneys excrete sodium and potassium. Sodium may need to be restricted and potassium may need to be …show more content…

I also see the patient being discharged when she show signs that her acute kidney failure is stabilizing. An immense part of rehabilitation is being able to walk and with M.S.’s case being able to ambulate with assistive devices. I foresee M.S. on dialysis three times a week once discharged. M.S. will not be discharged until there are dialysis appointments in place. Since her family is busy, she will need a ride from the rehabilitation center to the dialysis treatment center. There will be a cost for a van to transport her. Before discharge the family will have to consult and facilitate proper transportation for this patient. I also see the patient being on a low fat and low sodium diet. She will need to understand the impact all of her other illnesses have on her kidneys such as diabetes, high blood pressure, and heart

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