Polycystic Kidney Disease (PKD)
A 30-year-old white male patient comes to the clinic reporting dull, aching abdominal and flank pain. He reports nocturia and a family history of autosomal dominant PKD. He reports no known personal health problems, although he was instructed to monitor his blood pressure at home and he admits to “not doing so well with that.”
Today his blood pressure is 130/90 mm Hg; pulse is 72 and regular; respirations 12/min, and temperature is 98.8° F.
What additional information should the nurse elicit during the interview?
What are the key features of PKD?
Describe the causes of pain for patients with PKD.
What are typical findings of a urinalysis in a patient with PKD?
What are the causes of hypertension and kidney ischemia in a patient with PKD?
What is the risk involved with other organs and tissues in the progression of PKD?
Patients with PKD often have other tissue involvement. List several of the complications that can be present.
Identify priority nursing care needs for the patient with PKD.
What would the nurse include in the teaching plan for this patient?