Case Study 2
You are caring for Eric, a 5 year-old boy who is in the Pediatric Intensive Care Unit (PICU). You have not had Eric as a patient before so in Bedside Handoff you learn he has been in the PICU for six days. Eric’s parents had brought him to the Emergency Department (ED) from home when he experienced an anaphylactic reaction to amoxicillin he was taking for bilateral otitis media. Eric was previously stabilized; however, on day four he developed oliguria and had a disproportionate elevation of his blood urea nitrogen (BUN) in relation to his creatinine levels with a ratio of 20:1. His fractional excretion of sodium level was <1% indicating decreased renal perfusion.
Based on your assessment of Eric and his clinical manifestations, what type of acute kidney injury (AKI) does he have? Discuss the etiology and pathogenesis of Eric’s type of AKI.
Why is Eric’s renal perfusion decreased? Explain the pathophysiology.
What does the low fractional excretion of sodium suggest in terms of how his nephrons are responding and why?
Eric’s parents overheard the pediatric nephrologist mention acute kidney injury, so they looked it up in Google. They are now concerned and asked you if Eric will require dialysis or perhaps a kidney transplant. How will you respond? Provide rationales for your responses.
post must include strong and appropriate nursing scholarly journal articles substantively and accurately paraphrased, cited, and referenced that clearly supports the discussion topic with excellent APA format in addition to the required text.
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