Learning Outcomes: ·        (e.g. reporting to medical officers & documentation).

·        Demonstrates advanced clinical nursing practice by analysing a case study and justifying clinical decisions & judgements.

·        Evaluates given information to create/acquire resources and strategies to achieve learning objectives

·

Task: 1 The student is required to analyse and answer the following questions related to the given case study in which acute kidney injury is the focus. The student is further required to JUSTIFY the answers based on evidence.

·        The patient has been diagnosed with AKI, what is the evidence for this in the given case study? Please include the patient’s risk factors for developing AKI in your answer.

·        Using the RIFLE criteria, what level of risk do you think the patient in the case is at?

·        Is the cause of AKI in the given case as a result of pre-renal, renal or post-renal causes?

·        What are the causes of the electrolyte derangements in AKI especially related to potassium and phosphate?

·        A renal ultrasound was undertaken on the patient. What information can you obtain from a renal ultrasound and what does the patient’s, in this case study, results indicate?

·        What factors have contributed to the development of hypercatabolism in the given case?

·        What is the fluid volume status of the patient?

·        What are the goals of nutrition for the patient in the given case?

·        How would you monitor the patient’s nutritional status whilst on parenteral nutrition?

·        Does the patient in the study require renal replacement therapy (RRT) & what form of RRT would be recommended?

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