Title: “Assessing and Managing Acute Kidney Injury in a Pediatric Patient: A Case Study of 6-Year-Old Tara”

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Title: “Assessing and Managing Acute Kidney Injury in a Pediatric Patient: A Case Study of 6-Year-Old Tara”

You are a nurse in the Pediatric Intensive Care Unit (PICU). Your patient is a 6 year-old girl, Tara, who was admitted to PICU five days ago from the Emergency Department (ED). She had presented to the ED with anaphylaxis from taking ampicillin for acute bilateral otitis media. Tara was stabilized until day three when she developed oliguria. Her lab tests revealed she had a disproportionate elevation of her blood urea nitrogen (BUN) in relation to her creatinine level with a ratio of >20:1. In addition. Tara’s fractional excretion of sodium level was <1%. Based on your assessment of Tara and her clinical manifestations and lab results, which type of acute kidney injury (AKI) does she have? Discuss the etiology and pathogenesis of Tara's type of AKI. Why is Tara's renal perfusion decreased? Explain the pathophysiology. What does the low fractional excretion of sodium suggest in terms of how Tara's nephrons are responding and why? Discuss Tara's plan of care and expected outcome? When Tara's parents overheard the pediatric nephrologist mention acute kidney injury, they looked it up online in Google. Tara's parents are very concerned and ask you if Tara will require dialysis or perhaps a kidney transplant based on the information they read in Google. How will you respond? Provide rationales for your responses. Pleafjkse include 1 source minimum

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