ARF Case Study Acute Renal Failure Case Study Directions: Please carefully read the following case study and answer the following questions in typed format. The resources that you will need to complete this case study include your textbook and drug book. Please include in text citations. This independent assignment is worth 25 points. Ann Hayes‚ age 68‚ initially was admitted to the hospital for elective surgical repair of an abdominal aortic aneurysm. Her surgery was documented
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viral myositis (muscle inflammation) In urban areas with a high incidence of drug and alcohol abuse Causes little or no death unless it is associated with the secondary complications of rhabdomyolysis‚ including hyperkalemia‚ hypocalcemia‚ and acute kidney injury It tends to affect males more than females because of the former group’s predisposition to trauma and participation in strenuous physical exercise. In a recent large retrospective review‚ the median age was 11 years. The leading cause
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to any of the following: · hyperphosphatemia · lactic acidosis (metabolic acidosis) · hypocalcemia · hyperuricemia · hyperkalemia · acute renal failure Tumor Lysis Syndrome (TLS): · is caused by the destruction of many rapidly proliferating neoplastic cells · is most commonly associated with a Burkitt ’s lymphoma or acute lymphocytic leukemia · can occur after treatment of nearly any malignancy · occurs shortly (1-5 days) after onset of chemotherapy · can occur
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Confidential Enquiry into Patient Outcome and Death 2009‚ up to 30% of cases of acute kidney injury may be preventable and the best ’treatment of AKI is prevention.’ [3]This can mainly be done by identifying patients most at risk as early as possible. This would involve constant monitoring of urinary output and serum creatinine levels for the high risk patients. However in general‚ all hospitalized patients with acute illness should be monitored for any symptoms of AKI. In addition minimising the
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Can occur anywhere in the GI tract‚ but found mostly in descending colon Signs and Symptoms • Acute pain in the left lower quadrant • Palpable abdominal mass • Systemic symptoms of infection – Fever – ↑ c-reactive protein – Leukocytosis with shift to the left • *Can be asymptomatic Case Study: Health History • Patient: John Smith‚ a 60 year-old Caucasian male • Past Medical History: Acute renal failure/insufficiency‚ hypertension. • Allergies: NKA • Social/Family History: Married and lives with
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Associate Level Material Appendix D Read each scenario and write a 25- to 50-word answer for each question following the scenarios. Use at least one reference per scenario and format your sources consistent with APA guidelines. Scenario A Acute renal failure: Ms. Jones‚ a 68-year-old female‚ underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively‚ it was noted that she had very little urine output. 1. What is happening to Ms. Jones’s kidneys
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ischemia/reperfusion-induced kidney injury in obese rats Obese patients encounter higher frequency and severity of acute kidney injury (AKI) than lean ones. Telmisartan is used experimentally in ischemia/reperfusion (IR)-induced AKI. However‚ there is a lack of evidence regarding its beneficial effects on AKI in obese animals. The present study‚ therefore‚ aimed to explore the protective effect of garlic and telmisartan against renal damage induced by unilateral IR in obese rats fed a high fat diet for 16 wk. We also compared
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1. A female client is admitted with a diagnosis of acute renal failure. She is awake‚ alert‚ oriented‚ and complaining of severe back pain‚ nausea and vomiting and abdominal cramps. Her vital signs are blood pressure 100/70 mm Hg‚ pulse 110‚ respirations 30‚ and oral temperature 100.4°F (38°C). Her electrolytes are sodium 120 mEq/L‚ potassium 5.2 mEq/L; her urinary output for the first 8 hours is 50 ml. The client is displaying signs of which electrolyte imbalance? A. Hyponatremia B. Hyperkalemia
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guidelines. Scenario A Acute renal failure: Ms. Jones‚ a 68-year-old female‚ underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively‚ it was noted that she had very little urine output. 1. What is happening to Ms. Jones’s kidneys‚ and why is it causing the observed symptom? Ms Jones has had a decrease of blood getting to her kidneys due to several blocked vessels in her heart‚ which can lead to kidney failure. 2. What other
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hypertension‚ chronic kidney disease stage 3 Past Medical/Surgical History: metastasis of prostate cancer‚ primary; bone cancer‚ secondary; cardiomyopathy‚ a central hypertension‚ left bundle branch lock‚ past substance abuse‚ congestive heart failure; removal of throat abscess (date unknown); tonsillectomy (date unknown) Family/Cultural/Ethnic Considerations: patient prefers to live alone though has family support from siblings Summary of Admission History and Progress Notes: 67-year-old
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