Renal Case Study Tea-Colored Urine

Renal Case Study Tea-Colored Urine

Renal Case Study Tea-Colored Urine

Renal Case Study

Tea-Colored Urine

Case Scenario:

Carmelita Gomez, age 8, is brought to the Children’s Clinic by her mother because she is nauseated and has vomited three times in the past 24 hours. Her urine has turned “tea colored”. Carmelita is lethargic and she is complaining of diffuse abdominal pain. Ten days ago she had a sore throat and fever and stayed home from school for two days. She was not seen by a health care provider at that time. Upon questioning, Carmelita cannot remember needing to urinate in the past 12 hours. On exam, Carmelita is irritable and listless. She has slight periorbital edema. Carmelita has active bowel sounds with no palpable abdominal masses, but she is tender in all four quadrants. Carmelita is given a presumptive diagnosis of poststreptococcal glomerulonephritis (PSGN), pending laboratory tests.

Her laboratory values are:

Serum creatinine: 2.3 mg/dL

BUN 26.1 mg/dL

Serum sodium: 142 mEq/L

Potassium 4.2mEq

Specific gravity 1.025

Phosphorous: 6.3 mEq/dL

Calcium: 7 mEq/dL

UA: hematuria 4+, red cell casts

Antistreptococcal antibody titre: 800U

POINTS TO PONDER:

Which lab values are abnormal?
What clinical manifestations correspond to the abnormal values?
Describe the changes (pathophysiology) in the body causing each abnormal value and link the value to a clinical manifestation present in the patient?
Which values are within normal limits?
What nursing care needs to be implemented?
Provide one nursing diagnosis appropriate to this patient.
Reading

Urinalysis p.1146 (Leeuwen, pg. 546-552)
Culture p.230
Kidney stone analysis p.696 (Leeuwen, pg. 61,265,426,444)

Case Study Rubric

Criteria

Abnormal Values

What do the labs indicate specific to this patient

values and signs and symptoms

The relationship between the abnormal Signs & Symptoms and lab values is clearly demonstrated. **Must be specific**

Pathophysiology used to demonstrate connections between lab results, manifestations and disease process.

Expected care to be given for exhibited s/s and lab values. Expected correction of lab values based on care given. Patient education to prevent recurrence of abnormal lab values.

Quality

Grammar, spelling, APA…

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TeaColoredUrineCS.docx
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urinalysis.pdf
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UrineCulture.pdf

Renal Case Study Tea-Colored Urine

Renal Case Study Tea-Colored Urine

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
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I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
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I highly recommend using the APA Publication Manual, 6th edition.
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I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
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The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
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