Case Study You are the RN caring for a 53-year-old male with End-Stage Kidney Disease (ESKD) secondary to type 2 diabetes, which is often non-compliant with his medications and diet. He also has hypertension and hypercholesterolemia. His medications include Insulin, Lisinopril, erythropoietin, furosemide, Phoslo, and Lipitor. He has recently begun hemodialysis. He quit smoking cigarettes 1 year ago; he had a 30-year pack/day history. He is a retired high school teacher. His physical activity is limited to some light household chores. Introduction Briefly introduce the patient and situation to the reader and explain what the paper is about. No more than 6 to 8 sentences. Renal System Explain the major structures and roles of the renal system. Include the kidney and nephron’s basic processes and anatomy and how the nephron controls calcium, sodium, and potassium. Chronic Kidney Disease (CKD) and Treatment Explain the pathophysiology (the disease and changes to the cell, tissue, organs, and body functions) of CKD. When you explain the disease process, explain where and how erythropoietin, furosemide, Phoslo, and Lipitor mechanism of action is used to treat the disease. Medication Counseling Needs Explain the key medication counseling needs for this patient/family before, during, and after receiving erythropoietin, furosemide, Phoslo, and Lipitor (including major side effects & when the patient/family should contact their provider). Also, describe what reputable website the family may use to find more information about this disease and the treatment. Conclusion Using the first person in this section, explain to the reader what type of nursing you practice and in what setting. Explain if you have cared for patients with this disease and how this assignment has changed how you will care for these patients in the future. References A minimum of 2 references is required, not older than 5 years of age. At least 1 of these references must come from a peer-reviewed journal source accessed through the Shimberg Library Online E-Journals or Articles (Links to an external site.) Database.
