production Cr; Vit D * Diabetes Type I or II * Severe HTN or peripheral vascular disease * Preexisting CKD or proteinuria * CHF * Cirrhosis * NSAIDS‚ ACEi‚ vasodilators * Sepsis Pathophysiology: * Depressed RBF kidneys vulnerable to further insults - iatrogenic renal injury most common * Common iatrogenic combinations: * Preexisting renal disease‚ radio contrast agents‚ aminoglycosides‚ atheroembolism‚ or cardiovascular surgery * ACE inhibitors with
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The term "lower urinary tract symptoms‚" or LUTS‚ is nonspecific. It has been used as a general term to refer to any combination of urinary symptoms or as a more specific term to refer to those symptoms primarily associated with overactive bladder (frequency‚ urgency‚ and nocturia). An international consensus conference identified LUTS to include symptoms relating to storage and/or voiding disturbances common among aging men [1]. The prevalence of lower urinary tract symptoms in men increases with
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Analysis During the experiment‚ a dialysis bag was used to mimic a cell membrane. Two ways why this model realistically represents a cell is because the dialysis bag is semi-permeable‚ like a cell. The bag was able to allow water in‚ as the size of the water molecule was small enough to be able to fit through the pores of the bag. Sucrose was not able to pass through as the molecules were too big to enter. This is similar to a cell because the size of a molecule can determine whether or not the
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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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I’ve worked in renal dialysis at the Glens Falls Hospital for the past eight years. Working at the renal center is a very different type of nursing. You may say‚ “What is different about this type of nursing?” Well let me tell you‚ what is different about this type of nursing is that these patients require dialysis three times a week for the rest of their lives. In this type of nursing‚ it’s not like the patient who comes into the hospital needing surgery or possibly has an infection or pneumonia
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J.L. SOAP NOTE Subjective J.L. is a 63-year-old white female who presented to the ER with right lower extremity pain and swelling with subsequent changes to the skin‚ including formation of bullous ulcers. She had blistering over the past four days that started to enlarge. The doctor prescribed her Bactrim. Erythema‚ swelling‚ and pain progressively got worse. She denies any fever or chills. PMH: COPD‚ Hypertension‚ Diabetes mellitus‚ Osteoporosis‚ Fibromyalgia‚ Osteoarthritis‚ Morbid obesity
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Question 1 Mr. Jones‚ aged 70 years‚ has a history of Left Ventricular Failure and has been admitted to a medical admissions unit with dyspnoea and is found to be tachycardic. He is accompanied by his wife. a) Discuss the immediate care that would be given by the multidisciplinary team to aid Mr Jones dyspnoea. (12Marks) Feedback Question 1a: Those who did well: demonstrated a clear understanding of the anatomy and physiology of the heart and
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DEATH SUMMARY Patient Name: Putul‚ Barua Patient ID: 135799 Room No.: CCU4 Date of Admission: 01/07/2014 Date of Death: 01/15/2014 00:41 Admitting Physician: Simon William‚ MD‚ Pulmonology Consultants: J.K. McClain ‚MD Cardiology / Treveor Jordan‚ Nephrology This 42 year-old gentlemen was admitted on January 7th and expire on January 15. He was admitted with progressive tachycardia‚ hemoptysis‚ and dyspenia. Please see his admission history and physical exam for details. HOSPITAL
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Nurse as a change agent “You must be the change you wish to see in the world.” - Mahatma Ghandi Overview The theoretical foundations of change theory are robust: several theories now exist‚ many coming from the disciplines of sociology‚ psychology‚ education‚ and organizational management. Kurt Lewin (1890 – 1947) has been acknowledged as the “father of social change theories” and presents a simple yet powerful model to begin the study of change theory and processes. He is also lauded as the
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Experiencing a kidney disease is a way of life in itself. People with renal disease‚ whether on dialysis or after a kidney transplant‚ become detached from their routine life and are forced to adjust to a new world. The renal healthcare team plays a crucial role in helping patients and their carers adapt to their new life. While each team members has unique roles and responsibilities‚ they all work together to achieve one goal - the highest quality of life for the patient. Members of the dialysis care team
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