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Medical-Surgical 1

Chronic Kidney Disease: Fluid and Electrolyte Imbalance

Participants conduct a physical assessment of a patient with chronic kidney disease, differentiate findings, prioritize interventions, and communicate findings using SBAR.

Your patient is George Malek, a 58-year-old male who arrived to the hospital at 0830 this morning with complaints of muscle weakness, fatigue, swelling in his ankles, and shortness of breath with exertion.

Learning Objectives

1. Conduct a physical assessment of a patient with chronic kidney disease 2. Identify normal and abnormal assessment findings 3. Prioritize nursing interventions based on the patient's condition 4. Provide therapeutic communication, support, and education to the patient and significant other 5. Communicate your findings to the interprofessional healthcare team using the SBAR format

Nurse using VR Headset

Customization Examples

Discover Customizations from the Community

Any UbiSim scenario can be customized with UbiSim's Intuitive Editor. Possible customization examples for this scenario include:

Any UbiSim scenario can be customized with UbiSim's Intuitive Editor. Try custom scenarios from the community to expand your catalog.

1. Hyperkalemia with dehydration 2. Moderate to severe hypokalemia (>6.0 mmol/L ), aggressive treatment including calcium therapy, insulin and dextrose 50% (D50), and loop or thiazide diuretics 3. Mild hypokalemia

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UbiSim was created from the ground up for immersive VR using realistic interactions instead of “point and click” and menus. Intuitive scenarios standardize learning, while peer-led sessions enable programs to scale beyond limited clinical access.

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"It builds their confidence when they go into the clinical realm to say, ‘OK, so this is what I learned in simulation, now I can see how I would use that.'"

Tina Barbour-Taylor, Ph.D., MSN, RN

University of West Florida

"I created a whole scenario in less than an hour and a half with the UbiSim Editor - I had labs, X-rays, EKGs... and I still have a flip phone. But it was so easy!"

Gregg Schroeder, MSN, APRN-CNS

Director of Nursing Education
Hesston College

“There are 16 state competencies and we’re able to map some of them to virtual reality. For example, we built a scenario for hyperglycemia and blood glucose monitoring."

Marcus Kubichek

Robot Program Director
Monarch Healthcare Management


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