Thelma Collins Case Study - Nursing Assignment Help

Assignment Task :

Case study assignment: 
• The following case studies use de-identified information obtained from real people 
 

Case study 1 
Thelma Collins is an 87 year old lady residing in an aged care facility where you work as an enrolled nurse. This morning before breakfast she tells you that she doesn't feel well. You take a set of vital signs, perform a BGL and conduct urinalysis and the results are recorded on the observation charts posted on Canvas. 
 

Medical history 
• end stage renal failure (expected to commence dialysis within the next month)

• type 2 diabetes( 20 years)- treated with oral hypoglycaemic medication

• increasingly frequent urinary tract infections

• incontinent of urine and sometimes faeces

• hypercholesterolaemia

• hypertension ( unmanageable — doctor aware) 

Ql. Explain why Thelma's end-stage renal failure contributes to her high blood pressure? 
Her kidneys are having difficulty excreting the salts. Therefore, excess salts are being accumulated in her blood which triggers high blood pressure. her kidneys arelificking a hormone named aldosterone which  helps regulate her blood pressure. 

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