KEY PROBLEM/ND: 1 # KEY PROBLEM/ND: 2 # KEY PROBLEM/ND: 3 #

Impaired gas exchange due Decreased cardiac output due Impaired urinary elimination
to pneumonia/ return of to acute kidney infection
cancer Supporting data
Supporting data -Kidneys suffered from AKI
- Low RBC’s during contrast x-ray
- Low Hemoglobin -Kidneys have high BUN and
-Low Hematocrit Creatinine clearance
-Patient is taking
cardiovascular drugs to
address cardiac output.
due to AKI
Supporting data
-Patient had Foley catheter in
while he was taking loop
diuretics.
- Patient had Foley catheter
D/C’d during rotation today.

Reason for Health Care (medical dx Don’t know where to put!

Pneumonia, Recurrent right pleural effusion, Hypoxia -Patient’s cancer has returned which could
Acute Renal Insufficiency have signs and symptoms that are not
Key Assessments: AKI, fatigue, weakness expected with pneumonia.
KEY PROBLEM/ND: 4 #
Risk for electrolyte imbalance KEY PROBLEM/ND: # KEY PROBLEM/ND: #
due to AKI and
pharmacotherapy. Supporting data Supporting data
Supporting data
- patient has low calcium
-Healthcare team needs to
watch labs for any other drop
in electrolytes.
-Patient is taking diuretics and
insulin which could impact
electrolytes.