is stated that the plan is to work up the patient for hemodialysis. What would this process entail? What collaborative interventions could be used to enhance his care and ensure continuity of care after discharge?
A 62-year old, recently widowed male Hispanic patient, KB. was brought in to the emergency department (ED) by his daughter for progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu. In the emergency department, he appeared anxious and pale, and had a dry yellow tint to the skin. He denied any chest pain, and he could not recall the last time he urinated. He has history of benign prostatic hyperplasia, diabetes mellitus type 2, hypertension, dyslipidemia, and renal insufficiency for the past two years. His ED assessment findings included: 1+ pedal edema, basilar crackles in the lungs bilaterally, and a scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. Based on his subjective and objective symptoms, he was admitted with a diagnosis of progression of chronic kidney disease (CKD) to end-stage renal disease (ESRD). The plan of care was focused on managing his symptoms and consulting with his nephrologist regarding need for hemodialysis.
Questions:
- What modifiable factors could Mr. K.U.B. have addressed to slow the progression of his renal disease?
- His symptoms in the ED were listed as "progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu... He appeared anxious and pale, and had a dry yellow tint to the skin. Based on these assessment findings, what could be wrong with Mr. KB?
- His diagnostics showed the following: A scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. What other labs could we assess in order to make the picture of Mr. KB more clear?
- It is stated that the plan is to work up the patient for hemodialysis. What would this process entail?
- What collaborative interventions could be used to enhance his care and ensure continuity of care after discharge?
- What affect did uncontrolled hypertension and poor medication compliance have on his disease process?
I need help with Question 4,5&6
1,2,,3 is already ans
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