Chronic Polynephritis
Left Kidney Prob.
Secondary to
Nephrectomy Right
Kidney
O ROMOOK
heidneysmaintainthepurityandconstancy
ofourintestinalfluids,areperfectexamplesof
homeostaticorgans.Kidneysfiltergallonsoffluid
fromthebloodstreamallowingwastesandexcess
ionstoleavethebodyinurinewhilereturning
neededsubstancestothebloodin usttheright
proportions.Kidneysarelocated
thelowerbac.
Small,darredorganswithaidneybeanshapelie
againstthedorsalbodywallinaretroperitoneal
position.
heidneysextendfromthe totheL3vertebra.
heyreceivesomeprotectionfromthelowerpart
oftheribcage.Rightidneyispositionedslightly
lowerthantheleft.
he bladder holds the urine until voiding occurs. he
duct from the bladder to the urinary opening is
called the urethra.
n the male, it passes through the
penis; in the female, in front of the anterior wall of
the vagina.
ach idney contains over a million tiny structures
called nephrons which are responible for forming
urine.
P
N
SO
Ä Name:R.O.
Ä ge:
Ä ender:Male
Ä Religion:RomanCatholic
Ä Ox:ChronicPolynephritisLeftKidney
Prob.SecondarytoNephrectomyRight
Kidney
Ä ypertension
Ä sthma
Ä Oiabetes mellitus
Ä llergy
Ä Pulmonary uberculosis
OROON
SNC
ON LP RN
L PRCP
ON
he client verbalizes ³_
,´
which indicates that no matter how hard his
situation is, he still have a positive health outloo.
e perceives that he can still recover. e
continuously drin the medicines and ordered. he
appropriate foods prescribed by the doctor. e had
difficulty managing his self care needs such as
eating, drining, taing a bath, and defecating. is
relatives were his means of altering his needs. e
also had difficulty in taling and understanding
some questions.
NR
ON L M OL
C P RN
Since the client had undergone two idney surgeries
many foods were prohibited before. low salt, low
cholesterol and uremic diet was recommended. e
was able to eat the foods given to him but vomits
sometimes.
L
M
N
ON P RN
he client was connected to a catheter for he cannot
urinate. Ouring our shift, his urine was noted to be
yellow with some presence of whole particles.
here were no presence of bleeding in his feces.
SLP-RSP RN
Wehaveobservedthattheclientloosweaand
fallsasleepmostofthetime.esleepsbyPMand
heisusuallydisturbedwhentaingmedications.
CON
PRCP
ON
heclientwasabletoanswerthequestionsased
buthaddifficultytaling.isrelativeswerethe
onesanswering.venthoughhisconditionislie
this,hecanstillfollowinstructionscorrectly.
ROLRL
ONS
PP RN
ehadtwowives.heyhadonechildandhisfirst
wifedied. tpresenthehaschildrenonhis
secondwife.ewasthebreadwinnerofthefamily
butstoppedduetohisoldage.Whenhewas
confinedinthehospital,hisrelativesandfriendsare
alwaysvisitinghimforhecommunicateswiththem
effectively.
S L
Ouetohisoldageandhissicnesshissexualneeds
arenotmet.edivertshisattentiononhowhewill
recoverfast.
COP
N-SRSSOLR NC
ecopesupwithstressbysleepingandresting.
L-L
P RN
heclientisaorn gain.eishopingand
prayingforguidanceandrecoveryfromhisillness.
OR
SO
NR
CN M N
CO L P
N
S O
RR , -MON
OR
CLOP
OORL
C N
PL LS PL L OOM
N L P
NOR
NO
ROL
C R
ON P
N,OSPPS
, NS L
R NON M: LOCK
N R
S, LO
N
PL
OOS:
NO
NO SRO
NS
N R
S
N
mgOR L ONOS
N LLO
N -LLP
N
O
POSP ORM
OPL LS, CONR
NO
C
C S
R ON: O C NO
PRN
N PRSNS
O
NSS
ROMS OOR. -NCOR
ORM
ON C
P
NO
P OLO
C M
N
M
NO
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ON: LO
N ORS
OROC SRO
NS
N
ROSLR L CS
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NP
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SNOROM
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M N S , -W CORS
NS
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N, NOSMPOMS
R SORP
ON
OOS: O
RR , OO
OC
C
ROM SCNO
N
R NON M: 4mg
LOOPONL CONS
P
ON, NO
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,OR L POK LM
LS. O SR
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PROMO
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NP
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NO
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M, OOROR
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OR
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OR
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ON, RR
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C RON LC
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ON RL,
CONCRNR
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NS NO
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C CONR
NO
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ON: SMPOMSO
C
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C
NR L
S, - LK LOS
S NO
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MON
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N K NO
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NO
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N
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N OOM
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,
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S,O
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M P SS CONR
NO
C
ON ORCONS
P
ON
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OR
NOO
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-
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NO
P R
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S KMO
C
ONS
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NS
S S
C ORM LS,
C
OPMP PRR L
N
N
OR,S
NKS MORN
N
LOCKS -
NSRCP
N
N LSP
OSW LLOW
C
O L NNOO
PROOC
ON CW
NO
C
ON:
SROSOP R
N LRL
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S S
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SP N
S
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"
#
! !
R -NL
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SR
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R
-
CK
R
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LK,RS
L
N
R
-NO
NC
ONOR
NS
ON
- R
L
SKLL NO C -RONOO NO
SMOOSKLL
CONOR
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N
ORM
CONS
SNC;
SNCO
NOOLSOR
M SSS
-SMMR
COR
SL
L
SSMR
C
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L RS;
P LPR L
SSRS L
NS
;
SMMR
C
N SOL
L
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-SMMR
C
C
L
MOMNS
O
"
#
! !
SRCRS NO -
RNL
S L C
O
SR
O;
SK
N
N C
-ROWS
SMR
C LL
L
NO; L
MOMN
-SK
N
N C;NO
O
SC R;NO
O
SCOLOR
ON
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SMMR
C LL
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NO
S
L
SCLR O
CORN S, NO
PPR NOLOWR
ORORSO
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L
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N,SMOO,
NOP
NKORRO
-NOOM OR
NORNSS
ORL CR
M L
L NO
-NOOM OR
R
N
-L CK
NCOLOR;
L
S
;
NORM LL3-mm
NO
MR;
RONO,SMOO
OROR,
R
L
O
"
#
! !
-OS
COORO
N O,
MO
NN
SON,
W
P R LL
L
NMN
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NONONOR;
P
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NN P NO
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O
"
#
! !
-NORM LO
C
ONS O
L
MO NO -SO,MO
S,
OROP RN SMOOR
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N C
ONRS
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SC R
NCK -MSCLS L
N
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; O
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-COORO
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- OLS4
- OL R LL
LS4
- OL R LL
RO S
- LSRN
OOMN -NLM
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SK
N
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ORMCOLOR
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O
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NL RMNO
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C,
CONOR
O
"
#
! !
-SMR
C
MOMNS
C SO
RSP
R
ON
- O
LOWL
SONOS
N
LS -SMOO
R
N CP
ORM
-PROMPRN
OP
NKORS L
COLOR
MO
C L
NRN
ONS
S: CO, OSR
O: P: 3 mmg
R: 8 bpm
RR: 8 bpm
MP: 3.8 C
- S, PPC, (-) C O
-SL, CS, (+) CR CKLS, Ļ S
- P, NRM, (-)
-N S, SO
-P, no cyanosis, (-) edema
: tc PN , RLO P cute Pyelonephritis
P: R
, NaCO3, rinalysis
L OR OR
MS
Ä LR SONOOK
ONS NOL OOR
MPRSS
ON:RenalCorticalcystleftupperrole
ofnephrolithiasisleftlowerroleabsentrightidney
statuspostnephrectomy
Ä WC- .4NORM LR N:-
Ä RC-3.NORM LR N:4.-.
Ä MOLO
N- . NORM LR N: 3-
Ä M OCR
- .8NORM LR N:4-4
Ä LOOO NKRhtyping(+)
loodtypeO
Ä R
N LS
S
PS
C L M
ON
COLOR=LLOW
R NSP RNC=
Ä CR
N 4.3umolLR N:3-.
Ä PO SS
M3.nmolLR N:3.-.
Ä N3.nmolLR N: .-
Ä SOO
M 33nmolLR N: 3- 4
NOO
PRSN
ON