Nursing care of Leptospirosis with Renal Failure : Case study.

Abstract

In case study of a patient 55 years old married woman. She come to hospital with chif complain severe back pain, tired and heart palpitations, fainting 1 day ago. After getting additional of a patient’s information, it found that a patient walked through mud for rice planting 3 days ago. She was checked Leptospira lgM testing. The result was positive. She also had Acute Rend failure. By condition, Leptospirosis with Acute Renal failure were diagnosis. Patient had renal failure become to pulmonary edema and developed to respiratory failure. She was Intubated and use respirator. Treatment for thispatient  were Antibiotic, Continuous Renal Replacement Therapy, Veutrilator, follow Signs and symptoms until patient improved and can discharge

From this case study nursing care problems were Leptospirosis infection, Respiratory failure, Volumes overload, Risk to muscle Dysfunction  from electrolyte imbulance, Risk to complication from life’s saving equipments, Patient and her family concern of crisis and lack of knowledge about illness, plan of treatment and practice for get well.

After careful of treatments and nursing care all of the problem and disease condition were controlled. Patient improved and can be discharged to home with no complication she was admitted in hospital for 11 days.