The main nursing inventions for medullary sponge kidney relate with pain management. Nursing interventions in place for K.D. include pain management, encouraging fluids, and monitoring vitals. Pain management intervention starts with evaluating K.D. pain level. By asking K.D. her pain level the nurse can assess if K.D. pain is getting worse or if the pain is decreasing.The nurse will ask K.D. to rate her pain, the pain location, intensity, and what it makes it better or worse. After the nurse gets a better understanding of K.D.’s pain the nurse can then further assess on what type of pain management will best benefit K.D. pain. Options to help relieve K.D. pain include her prescribed pain medication and/or a non- pharmacological approach. While working with K.D. some of the non-pharmacological approaches she liked were using a warm blanket, soaking in a warm bath, and applying heat packs to areas of pain. Using both pharmacological and non-pharmacological pain approaches together was effective in helping to decrease K.D. pain levels.By encouraging fluids, it not only help K.D. overall hydration status but it aided in the help of passing her kidney stones. Frequently obtaining K.D. vitals and assessing gave the nurse a quick overview on how K.D. was doing. A big risk for K.D. was going into respiratory distress from the type of pain medications she was using. With the nurse frequently monitoring her vitals, the nurse was able to build a baseline to help evaluate if K.D. was going towards having a respiratory distress issue. Both encouraging fluids and frequently assessing K.D. was effective in her care plan.
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