Nursing Assignment: Chronic Renal Failure and Epoetin Alfa Administration

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the student:
Name of the university:
Author note:

1NURSING ASSIGNMENT
Case Study:
The case study is about an Australian women named Mrs. N, who is 31-year-old, and works
as a supervisor in a construction project. She has been complaining about frequent vomiting
in past few days. When she reported to the nearby health care centre, Mrs. N stated that she
has been also having sleeping problems, cramps and urination issues. after few tests and
check-ups, the doctor diagnosed Mrs. N with Chronic Renal Failure and uncontrolled
diabetes. When the doctored went through her past medical history, he finds out that she had
been suffering from diabetes mellitus type 1 from a very early age. Also she has a family
background of diabetes and sever heart disorders. She has been on few medications because
of her diabetes; Aspirin drug for diabetes mellitus type 1 is been provided to her by her
previous physician.
She was also found to be tobacco and alcohol addicted and now trying to quit the
habit. She goes for routine counselling session to get rid of the addiction. Mrs. N is a single
mother of twin children, X and Y. and recently she has found out that X has been skipping his
classes and roaming around with a bunch of spoiled children.
Clinical Practice:
Focusing on her current condition and suffering from chronic renal failure, she has been
administered with Epoetin Alfa.
Rationale:
Epoetin Alfa is the keystone of anaemia therapy in the patients who are at the end-stage renal
disease or who’s kidneys are not working (Webster et al. 2017). As Mrs. N is suffering from
chronic renal failure, she needs to be provided with Epoetin Alfa in order to control the
drastic effect that may cause due to the disorder.

2NURSING ASSIGNMENT
Indication for Administration:
Epoetin alfa injection are available as a liquid solution for injection, subcutaneously or
intravenously. It is normally injected one to three times in a week to patient. When Epoetin
Alfa injection is used to decrease the risk of anaemia in patients who are suffering from
chronic renal failure (Casadevall et al. 2017). On the other hand, Epoetin Alfa injection is
often used once in a week to patient who are about to receive kidney transplant or surgery for
continuous three weeks before their surgery (Fishbane et al. 2018). Use Epoetin Alfa
injection should be exactly used as it is directed. Usage of the injection in less or more
amount may lead to sever outcomes for the patient (Santos et al. 2018).
Safety requirement around the administration:
 Check whether the Mrs. N is allergic to Epoetin Alfa or any other kind of medications,
or any type of compositions in Epoetin Alfa injection. Before administration, revise
the Medication Guide for a list of the components.
 Before administration check whether other prescribed and non-prescribed
medications, drugs, nutritional supplements, that the patient has been taking
(Azmandian et al. 2018). According to the information, there should be a change in
the doses of the medications or monitoring Mrs. N carefully for the side effects.
 Clarify and diagnose if Mrs. N has high blood pressure and if yes, then avoid injecting
the patient with Epoetin Alfa.
 Find out if Mrs. N has or has ever had seizures. If Mrs. N is provided with Epoetin
Alfa injection to treat the anaemia that is caused by the chronic renal disease, it is
important to know whether she has suffered with cancer in her previous medical
history.
 Before administration of Epoetin Alfa, it should be known whether Mrs. N is pregnant
or breast-feeding.