Patient is a 64 y.o male diligent with inveterate renal failure who has recently undergone peritoneal dialysis in the hospital setting. Patient has complained that his quality of life would not be the alike(p) if he would substantiate to go and have this done at a dialysis clinic, therefore, he has been taught by nurses how to perform the exchanges on his suffer at home. Patient has H.I.T, so he is unable to have hemodialysis performed. After a 7 day scarper of hospitalization and education, the patient has been performing 4 exchanges every early(a) day. Patient refuses to call 911 for sudden development of fever, chills and severe give out abdominal pain. Daughter brings patient to emergency department.
Questions to ask the patient:
When was the expire time that you performed the peritoneal dialysis? When did you notice the fever and chills began? During the last exchange, was there any color difference in the dialysate? Was it muddy in color?
How would you describe this abdominal pain? Is it a dull, radiating, or stabbing pain? Would you say that your stomach is more distended than usual? Have you had any pain with urination or bowel movements? How often are you changing the back at your catheter site? Is there any drainage on the dressing when you change it? If so, what color and how much? Do you reuse equipment? Do you check the expiration date and color of the dialysate fluid in the first place you let it dwell in your abdomen?If you want to vanquish a full essay, order it on our website: Orderessay
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