diabetic nephropathy .... help me pls.

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can anyone help me to understand what is diabetic nephropathy

and what are the common nursing diagnosis in this case.

i need at least three.... cause i already have 2 but i don't know if it is correct.

can anyone help me,:cry: our case presentation is on sept.2

were running lot of tym....

im so tired and stress my brain couldn't function well

so im begging to help me..:cry:

thanks in advance,,, i wish that there is someone

who has a big heart.:crying2:

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I haven't started school yet...(wednesday:)) But, my advise to you now...Relax-find a way to take your stress level down for a bit. It will come to you, I promise.

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can anyone help me to understand what is diabetic nephropathy

and what are the common nursing diagnosis in this case.

i need at least three.... cause i already have 2 but i don't know if it is correct.

can anyone help me,:cry: our case presentation is on sept.2

were running lot of tym....

im so tired and stress my brain couldn't function well

so im begging to help me..:cry:

thanks in advance,,, i wish that there is someone

who has a big heart.:crying2:

What two do you have? Might be a good starting point, then folks can help you work through your process. It won't be as useful to you if someone just gives you them.....we all need to figure out our process to come up with these on our own.

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Specializes in Psych.

Here's a nice explanation of how it works. You might be better off looking up glomerulonephritis and relating it to diabetes.

http://www.mayoclinic.com/health/glomerulonephritis/DS00503/DSECTION=causes

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Specializes in med/surg, telemetry, IV therapy, mgmt.

i can't help you when you post things like "what are the common nursing diagnosis in this case. i need at least three.... cause i already have 2 but i don't know if it is correct" and then not list the nursing diagnoses you came up with. i have no way of knowing if these 2 diagnoses are correct are not. a case presentation always begins by learning as much about the disease process and its pathophysiology as possible. diabetic nephropathy is a 5 step process that begins with hypertension and ends with esrd. a nice chart of it is present in an e-medicine article i've listed for you below. presence of hypertension, falling gfrs and increasing excretion of albumin in the urine (leads to tissue fluid retention and edema) are what doctors use as landmarks to classify the patient's stage in the disease process. here are some websites you should look at:

for information on construction of care plans and determination of nursing diagnoses, see https://allnurses.com/general-nursing-student/help-care-plans-286986.html- help with care plans. nursing diagnoses are based upon symptoms that a patient will have, so you need to list out the symptoms the person with diabetic nephropathy will have at the various stages and determine what nursing diagnoses match with those symptoms.

blood pressure consists of two main components:

  1. cardiac output
    • heart rate - beats per minute :redbeathe
    • stroke volume - amount of blood pumped per beat

[*]peripheral resistance - resistance of the arteries against the flow of blood through them

hypertension: increasing any one of the above factors increases the blood pressure and vice versa.

there are only two nursing diagnoses that specifically pertain to cardiac function:

diagnosis for hypertension: decreased cardiac output r/t increased contractility aeb elevated b/p

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