Mr Robert an indigenous male patient Presented to Emergency Department with severe abdominal pain, vomiting and fever, he got admitted for a wk in the hospital. An emergency exchange was done in the ED. Initial treatment included IP antibiotic administration, cephazolin 1 gm and ceftazidime 1 gm along with heparin, this is to cover gram positive and negative cocci while waiting for PD sample result. Pt is a known case of diabetic nephropathy which was diagnosed in his early 20’s with poor control of diabetes. After investigations he was diagnosed as peritonitis and was treated with Intraperitoneal antibiotics and antiemetic IV metaclopromide for the vomiting.Treated with nyastatin to prevent fungal peritonitis. PD sample result showed sensitivity to vancomycin and IP antibiotic changed to vancomycin and doses administered according to serum vancomycin level and T.paracetamol oral for the temperatures.Taking in to consideration that patients PD techniques are poor nurses who is been trained on PD performed exchanges on the ward and later discharged under the care of peritoneal nurses ,who provided more education and completed course of 21 days antibiotic. During his stay in the hospital he was been referred to renal dietician and diabetic educator.
o Describe the presentation, biological, psychological and social aspects of the chosen case; (approx. 500 words)
Review current evidence in relation to the incidence and prevalence of CKD or ESCKD in both indigenous and non-indigenous Australians; (approx. 500 words)
o Describe the anatomy and physiology of the chosen case’s primary renal condition; pathophysiology of Diabetic nephropathy(approx. 500 words)
o Critically evaluate the nursing treatments/interventions provided over a one week period.This section is to include the nursing responsibilities in relation to observations, monitoring and measuring the patient’s response to nursing, medical and pharmacological interventions