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- Primary Aldosteronism (Conn’s Syndrome) Definition Pathophysiology Diagnostic exam Subjective and objective Pictures Medical management Surgical PrognosisMartha is a 56 year old female admitted for a care following a valve replacement surgery (7days) and acute renal dysfunction requiring hemodialysis postoperative . PMH:CHF and AfibA pregnant woman is receiving an epidural analgesic priorto delivery. The nurse provides vigilant monitoring of thispatient to prevent the occurrence of:a. Pruritusb. Urinary retentionc. Vomitingd. Respiratory depression
- phathophysiology Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency room [ER]. Paul’s initial diagnostic workup, vital signs and lab work reveal a 2500 mL blood loss. A urinary catheter is inserted to monitor urine output. Currently, Paul’s urine output is 15 mL/hr and is clear but dark amber in color. In addition to urine output, what laboratory data should be monitored to assess potential changes in PW’s renal function?phathophysiology Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency room [ER]. Paul’s initial diagnostic workup, vital signs and lab work reveal a 2500 mL blood loss. A urinary catheter is inserted to monitor urine output. Currently, Paul’s urine output is 15 mL/hr and is clear but dark amber in color. What type of renal failure is PW likely developing? What is the underlying cause?phathophysiology Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency room [ER]. Paul’s initial diagnostic workup, vital signs and lab work reveal a 2500 mL blood loss. A urinary catheter is inserted to monitor urine output. Currently, Paul’s urine output is 15 mL/hr and is clear but dark amber in color. Identify 3 other clinical problems (adverse outcomes) that may develop if PW’s renal function does not return to normal but continues to deteriorate?
- Health Care Problems Therapeutic Goal Therapeutic Recommendation Rationale Peptic Ulcer Irritable Bowel Syndrome Grave’s Disease Chronic Renal Dysfunction Iron deficiency AnemiaThe nurse is administering oral methylcellulose (Citrucel) and keeps in mind that a major potential concern with this drug is a) dehydration.b) tarry stools.c) renal calculi.d )esophageal obstructionRenal failure is a multiorgan health issue. Discuss.
- A physician is treating a patient exhibiting symptoms of impaired renal function following a massive hemorrhage. The physician orders a serum sodium and a PAH clearance test. The patient has a serum PAH of 1.0 mg/dL, urine PAH of 200 mg/dL, and a urine volume of 240 mL in 2 hours. The serum sodium is decreased.find clearance Please answer asapPrimary Aldosteronism (Conn's Syndrome) 1. Pathophysiology 2. Diagnostic Exam 3. Medical management31-year-old woman with a history of: depression; seizure disorder; anemia; diabetes; hypertension; end stage renal disease; polysubstance abuse and malfunction of hemodialysis catheter. When the patient was age 14, she was diagnosed with diabetes, this led to hypertension; she had a son at age 21 and the pregnancy led to kidney failure and the need to go on dialysis. She has since had several access revisions. The patient also reported having a history of depression, anxiety and post-traumatic stress disorder (but would not elaborate). When I first introduced myself to this patient, she was very angry and was facing away from me, staring at the wall. She was in isolation for MRSA and VRE and this truly made her feel more isolated. I asked if I could assist her with anything and she said she needed some sheets on her bed so she could lie down and she needed pain medication. She was very itchy and needed the linens washed in Ivory. I offered to go and collect the sheets from housekeeping…
