Mr X Case Study
Case Study Mr. X In the case of Mr. X, there are 7 questions that are asked to determine the cause of his hyperkalemia. What is known is this is a 34-year-old Hispanic male, complains of left leg pain since yesterday, c/o some chills, nausea, vomiting, shortness of breath. Diagnosed with chronic kidney disease four years ago, and HIV five years ago, medications include antiretroviral therapy, CD4- unknown at this time. Patient no longer produces urine and was last dialyzed five days ago. Listed below will be the questions and answers to this case study.
Questions
1a. What four etiologies in this case are responsible for causing hyperkalemia?
i). The four etiologies of Mr. X's condition of hyperkalemia are chronic kidney failure (CHD), Human Immunodeficiency Virus (HIV), …show more content…
Primary disturbances in magnesium balance, especially magnesium depletion, create auxiliary potassium depletion. Magnesium hinders potassium, which then magnesium pushes the potassium out the cells through renal excretion causing hypokalemia. In order for the cell to keep up the typically high intracellular grouping of potassium the expansion in the membrane permeability to potassium as well as the restraint of Na+-K-ATPase needs to take place.
4. What can you educate Mr. X to do at home that can help to maintain potassium homeostasis? i). The education Mr. X to maintain potassium homeostasis would consist of the following; do not take medication such as NSAID’S, potassium containing salt substitutes, angiotensin ii receptor blockers (ARBs), and potassium-sparing diuretics. Do not eat potassium contents of different foods such as; oranges and orange juice, leafy green vegetables, such as spinach and greens (collard and kale) and potatoes. Avoid caffeine and alcohol, as these can cause you to have electrolyte disturbances. Also, to get plenty of rest and teach Mr. X about the signs and symptoms of what to expect with current diagnosis.
4. How does hyperkalemia affect the
Questions
1a. What four etiologies in this case are responsible for causing hyperkalemia?
i). The four etiologies of Mr. X's condition of hyperkalemia are chronic kidney failure (CHD), Human Immunodeficiency Virus (HIV), …show more content…
Primary disturbances in magnesium balance, especially magnesium depletion, create auxiliary potassium depletion. Magnesium hinders potassium, which then magnesium pushes the potassium out the cells through renal excretion causing hypokalemia. In order for the cell to keep up the typically high intracellular grouping of potassium the expansion in the membrane permeability to potassium as well as the restraint of Na+-K-ATPase needs to take place.
4. What can you educate Mr. X to do at home that can help to maintain potassium homeostasis? i). The education Mr. X to maintain potassium homeostasis would consist of the following; do not take medication such as NSAID’S, potassium containing salt substitutes, angiotensin ii receptor blockers (ARBs), and potassium-sparing diuretics. Do not eat potassium contents of different foods such as; oranges and orange juice, leafy green vegetables, such as spinach and greens (collard and kale) and potatoes. Avoid caffeine and alcohol, as these can cause you to have electrolyte disturbances. Also, to get plenty of rest and teach Mr. X about the signs and symptoms of what to expect with current diagnosis.
4. How does hyperkalemia affect the