Polycystic Kidney Disease (PKD) A 30-year-old white male patient comes to the cl
ID: 125986 • Letter: P
Question
Polycystic Kidney Disease (PKD)
A 30-year-old white male patient comes to the clinic reporting dull, aching abdominal and flank pain. He reports nocturia and a family history of autosomal dominant PKD. He reports no known personal health problems, although he was instructed to monitor his blood pressure at home and he admits to “not doing so well with that.”
Today his blood pressure is 130/90 mm Hg; pulse is 72 and regular; respirations 12/min, and temperature is 98.8° F.
What additional information should the nurse elicit during the interview?
What are the key features of PKD?
Describe the causes of pain for patients with PKD.
What are typical findings of a urinalysis in a patient with PKD?
What are the causes of hypertension and kidney ischemia in a patient with PKD?
What is the risk involved with other organs and tissues in the progression of PKD?
Patients with PKD often have other tissue involvement. List several of the complications that can be present.
Identify priority nursing care needs for the patient with PKD.
What would the nurse include in the teaching plan for this patient?
Explanation / Answer
What additional information should the nurse elicit during the interview?
In addition, the nurse should collect the information about the following:
o Auscultation to reveal number of cysts
o Differential diagnosis for pain
o General health status
o UTI
o H/O kidney stones
What are the key features of PKD?
Many individuals live with PKD for quite a long time without encountering side effects related with the sickness. Pimples ordinarily grow 0.5 inches or bigger before a man begins seeing manifestations. Beginning indications related with PKD can include:
Youngsters with autosomal passive PKD may have indications that include:
Manifestations in kids may look like different issue. It is essential to get therapeutic consideration for a tyke encountering any of side effects recorded previously.
Describe the causes of pain for patients with PKD.
What are typical findings of a urinalysis in a patient with PKD?
What are the causes of hypertension and kidney ischemia in a patient with PKD?
Hypertension:
Expanded movement of the renin-angiotensin framework (RAS) and extracellular volume development are frequently present ahead of schedule in ADPKD (ie, before height in the serum creatinine) and may assume a vital part in the ascent in circulatory strain. It has been proposed that growth development, prompting central zones of renal ischemia and upgraded renin discharge, is to a great extent in charge of at any rate the underlying ascent in circulatory strain. Two perceptions are perfect with this speculation:
Renal ischemia:
The expanded renin discharge, maybe because of renal ischemia caused by sore extension, most likely adds to the early advancement of hypertension inpolycystic kidney illness
What is the risk involved with other organs and tissues in the progression of PKD?
· Individuals with PKD may have growths in their liver, pancreas, spleen, ovaries, and vast inside.
· Blisters in these organs more often than not don't cause major issues, however can in a few people.
· PKD can likewise influence the cerebrum or heart. On the off chance that PKD influences the mind, it can cause an aneurysm.
· An aneurysm is a swelling vein that can blast, bringing about a stroke or even passing. On the off chance that PKD influences the heart, the valves can wind up plainly floppy, bringing about a heart mumble in a few patients.
Patients with PKD often have other tissue involvement. List several of the complications that can be present.
Complications included with PKD include:
o HTN
o Alterations in renal function
o Cysts formation in the liver
o Development of aneurysms
o Colon problems
o Heart valve problems
o Chronic pain
Identify priority nursing care needs for the patient with PKD.
What would the nurse include in the teaching plan for this patient?