Chronic Kidney Disease (CKD) Case Study (45 min)
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Study Tools For Chronic Kidney Disease (CKD) Case Study (45 min)
Chronic Kidney Disease Symptoms (Cheatsheet)
Chronic Kidney Disease Late Symptoms Assessment (Picmonic)
Chronic Kidney Disease Early Symptoms Assessment (Picmonic)
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Outline
Mr. Stinson is a 52-year-old male with a history of HTN, DM Type II, CKD, and CHF. He presented to the Emergency Department (ED) complaining of severe itching, nausea, and vomiting. He appeared pale and is lethargic. He reported shortness of breath and the nurse notes crackles in his lungs. He has now been admitted to your unit.
Critical Thinking Check
Bloom's Taxonomy: Application
What additional nursing assessments should be performed?
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Critical Thinking Check
Bloom's Taxonomy: Analysis
What diagnostic or lab tests would you expect the provider to order?
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Upon further questioning, the patient reports he normally gets dialysis Monday, Wednesday, Friday, but that he skipped dialysis yesterday because he was “not feeling well”. He has +2 pitting edema in his legs. Vital signs are as follows:
HR 102 RR 24
BP 153/97 SpO2 90%
The patient’s labs result and show the following:
BUN 62 mg/dL Na 134 mg/dL
Cr 3.9 mg/dL Ca 7.8 mg/dL
GFR 13 mL/min/m2 Phos 5.0 mg/dL
K 6.3 mEq/L Mg 1.6 mg/dL
Gluc 224 mg/dL H/H 8.2 / 30%
pH 7.32 pCO2 32 HCO3– 16
BNP 247 pg/mL
Critical Thinking Check
Bloom's Taxonomy: Analysis
Interpret these lab results and explain their meaning.
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Critical Thinking Check
Bloom's Taxonomy: Analysis
What is going on with Mr. Stinson physiologically?
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The nephrologist is consulted and determines that the patient needs hemodialysis. As soon as possible. The charge nurse of the dialysis unit is working to create a bed for him and will call back as soon as one is available, hopefully within the hour.
Critical Thinking Check
Bloom's Taxonomy: Analysis
What do you, the nurse, need to consider and assess for Mr. Stinson PRIOR to sending him to dialysis?
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Mr. Stinson goes to hemodialysis, where they are able to pull of 3 L of fluid. He tolerates the procedure well and returns to his room.
Critical Thinking Check
Bloom's Taxonomy: Analysis
What would you need to assess for Mr. Stinson AFTER he returns from Dialysis?
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Critical Thinking Check
Bloom's Taxonomy: Application
What are some important patient education topics for Mr. Stinson before discharge?
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Study Plan Lessons
02.03 Swan-Ganz Catheters for CCRN Review
02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review
06.01 Organ Failure, Dysfunction & Trauma for CCRN Review
09.01 Acute Renal Failure Overview for CCRN Review
09.02 Acute Tubular Necrosis for CCRN Review
09.05 Chronic Renal Failure for CCRN Review
ABGs Nursing Normal Lab Values
ACE (angiotensin-converting enzyme) Inhibitors
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Kidney Injury Case Study (60 min)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Adult Vital Signs (VS)
Albumin Lab Values
Alkaline Phosphatase (ALK PHOS) Lab Values
Amitriptyline (Elavil) Nursing Considerations
Anemia for Progressive Care Certified Nurse (PCCN)
Angiotensin Receptor Blockers
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Backwards and Forwards
Blood Urea Nitrogen (BUN) Lab Values
Brain Natriuretic Peptide (BNP) Lab Values
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Cardiac (Heart) Disease in Pregnancy
Cardiac Course Introduction
Cardiac Glycosides
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)
Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Chronic Kidney Disease (CKD) Case Study (45 min)
Cirrhosis Case Study (45 min)
Congenital Heart Defects (CHD)
Congestive Heart Failure (CHF) Labs
Congestive Heart Failure Concept Map
COPD Exacerbation for Progressive Care Certified Nurse (PCCN)
Coumarins
Creatinine (Cr) Lab Values
Creatinine Clearance Lab Values
Critical Thinking
Defects of Decreased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Disease Specific Medications
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Dobutamine (Dobutrex) Nursing Considerations
Dysrhythmias for Certified Emergency Nursing (CEN)
Dysrhythmias Labs
Endocarditis for Certified Emergency Nursing (CEN)
Erythrocyte Sedimentation Rate (ESR) Lab Values
Fluid Volume Deficit
Fluid Volume Overload
Heart (Cardiac) and Great Vessels Assessment
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart (Heart) Failure Exacerbation
Heart Failure – Live Tutoring Archive
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart Failure 2 – Live Tutoring Archive
Heart Failure Case Study (45 min)
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)
Hydralazine
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertensive Emergency
Hyperthermia (Thermoregulation)
Hypertonic Solutions (IV solutions)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Isotonic Solutions (IV solutions)
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Malnutrition (Failure to Thrive, Malabsorption Disorders) for Progressive Care Certified Nurse (PCCN)
Metoprolol (Toprol XL) Nursing Considerations
Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)
Mixed (Cardiac) Heart Defects
Myocardial Infarction (MI) Case Study (45 min)
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
NSAIDs
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Myocarditis
Nursing Care Plan for Pulmonary Edema
Nursing Case Study for Acute Kidney Injury
Nursing Case Study for Cardiogenic Shock
Nutrition (Diet) in Disease
Obstructive Heart (Cardiac) Defects
Palliative Care for Progressive Care Certified Nurse (PCCN)
Pediatric Advanced Life Support (PALS)
Peritoneal Dialysis (PD)
Pleural Effusion for Certified Emergency Nursing (CEN)
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Potassium-K (Hyperkalemia, Hypokalemia)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preload and Afterload
Pulmonary Hypertension for Certified Emergency Nursing (CEN)
Renin Angiotensin Aldosterone System (RAAS)
Resources for Lesson Creation
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Rheumatic Fever
Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Specialty Diets (Nutrition)
Start and End with the Linchpin
Stroke Concept Map
Sympatholytics (Alpha & Beta Blockers)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Tenet 2 Linchpins & Connections