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SIMULATION: 211L- HAROLD SHOEMAKER
Chronic Kidney Disease (CKD)
Read & Review:
Harding, M. M., Kwong, J., Roberts, D., Hagler, D., Reinisch, C. (2020). Lewis’s medical-surgical nursing:
Assessment and management of clinical problems (11th ed.). St. Louis, MO: Elsevier.
hapter 46
ATI Skills Modules:
xygen Therapy
Medication Administration 2
Medication Administration 3
PREP QUESTIONS
1. Discuss the pathophysiology of Chronic Kidney Disease (CKD).
2. Discuss the Etiology of Chronic Kidney Disease (CKD).
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3. Describe the clinical manifestation of CKD per body system.
Body System
Description
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Integumentary
Electrolyte/Acid-Base
Imbalances
Musculoskeletal
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4. Describe the interventions for the following conditions associated with CKD.
Cardiovascular Problem
Description
Hyperkalemia
Hypertension
CKD-MBD (Bone Disorder)
5. Discuss the relationship between CKD and anemia, including the interventions for this type of anemia.
6. What nutritional therapies should be followed by patients with CKD and why?
Protein
Fluid
Sodium and Potassium
Phosphate
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7. Compare and Contrast hemodialysis and peritoneal dialysis
Hemodialysis
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Peritoneal Dialysis
Medication
Hydralazine Hydrochloride
Vitamin B12
Epoetin Alfa
Ferrous Sulfate
211 Session III – 2022
Drug Class/Purpose
Expected Side Effects
Important Nursing Considerations
Medication
Furosemide
Lisinopril
Finasteride
Metoprolol
211 Session III – 2022
Drug Class/Purpose
Expected Side Effects
Important Nursing Considerations
Medication
Sevalemer
Regular Insulin
Insulin Glargine Recombinant
Sodium polystyrene sulfonate
211 Session III – 2022
Drug Class/Purpose
Expected Side Effects
Important Nursing Considerations
Hand Off Report Brain Sheet:
Basic Pt Initials:
Info
Age/Gender:
Allergies:
MD:
Code Status:
Chief Complaint:
Admitting Diagnosis:
Past Medical History:
Past Surgical History:
Labs:
Imaging/Diagnostics:
ASSESSMENT:
Neuro/LOC: _________________________________________________________
Respiratory: _________________________________________________________
Cardiac: _____________________________________________________________
GI: _________________________________________________________________
GU: ________________________________________________________________
Skin: ________________________________________________________________
LDAà(Lines/Drains/Airway): ____________________________________________
GAME PLAN/PLAN OF CARE:
211 Session III – 2022
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