the emergency department for management of acute mushroom poisoning. Her respirations are slow and shallow, and she is non-responsive. She is admitted to the critical care unit to be closely monitored for the development of ventilatory failure and renal failure, which often accompany mushroom poisoning. Her urine output is decreased at about 20 ml/hr. Her laboratory values are: * Serum K+ = 5.7 mEq/L * Arterial blood gases (ABGs) * pH = 7.13 * PaCO2 = 56 mm Hg * PaO2 = 89 mm Hg
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Present Technology Over 3.9 million people of the American population currently has been diagnosed with kidney disease. Kidney failure occurs when you kidneys can no longer function to filter waste products from your body. When the kidneys do not function, dangerous levels of waste accumulate in the bloodstream. In most cases, kidney failure is a permanent, life threatening condition which requires intensive treatment. High blood pressure and diabetes are two leading causes of kidney disease. Developing
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Collaborative Approach to End Stage Renal Disease Patient Care Chronic kidney disease (CKD) affected 15.1% of the U.S. population in 1999-2000. During the fifth stage of kidney disease, kidney failure occurs. This is known as end-stage renal disease (ESRD). As of 2006, 25% of the Medicare budget was being used for the treatments for CKD and ESRD patients. As the baby boomers age, these numbers are expected to rise as well. An innovative and collaborative approach, such as a patient-centered medical
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Awareness Campaign of Chronic Kidney Disease Chronic kidney disease (CKD) is a growing public health problem in the United States and worldwide. According to the Center for Disease Control and Prevention (2014), over 10% of adults nationwide have CKD to some degree. The disease is associated with a risk of cardiovascular disease, kidney failure, other health problems, and even death. People diagnosed with hypertension or diabetes are at a higher risk of developing chronic kidney disease. Researchers
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the body performing its proper function leading to the cause of wastes not being able to exit the body or even having problems with natural homeostasis within the body. Chronic glomerulonephritis is said to be the third leading cause of end-stage renal disease (ESRD) which is reported to be about 10% of patients that are on dialysis. As much as 40% of patients that suffer from chronic glomerulonephritis and are on dialysis have been reported to be from Japan and other Asian countries although Japanese
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Presentation In most cases, chronic kidney disease is asymptomatic. When symptoms are present they are generally nonspecific. Detection is usually the result of investigation driven by clinical suspicion. High risk patients are routinely screened for renal failure. Screening is conducted in hospitals, routinely on acutely ill patients, patients with abnormal imaging results such as stones, primary care, patients with co-diseases like hypertension or diabetes and those with family history. By the time
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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 just had open-heart surgery and her kidneys did not have enough blood flowing to them (possibly because of low blood pressure during the surgery) and are struggling to work
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Failure I was given two scenarios to look at and answer questions about. This paper will show what the scenarios are. It will also include what I feel are the correct answers are by the research that has been done. Scenario A: Acute renal failure A 68 year old female named Ms. Jones underwent open-heart surgery to replace blocked vessels in the heart. The first day of her postoperatively the notes showed that Ms. Jones has had very little production of urine. What is
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Polycystic Kidney Disease This paper is about polycystic kidney disease (PKD). It will describe a case scenario about a newly diagnose patient with end-stage kidney failure. The reader will learn about the kidney and function. What would happen if the kidneys stop working correctly? Continue to read to find the answer. A 40-year-old white well-nourished pleasant male presented with nausea, fatigue, shortness of breath has bilateral lower leg edema with chief complains of not urinating on two
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progressing to renal failure. JH’s lab values indicate that the PaCO2, HCO3-, and Hct, and Na levels are all below normal limits. His potassium level was increased at 5.4 mEq/L. There was also an increase in JH’s BUN (58 mg/dl), creatinine (3.9 mg/dl), and albumin (2.0 g/dl) levels. Traces of protein were found in his urine suggesting that JH’s condition is progressing to renal failure. 3. What additional physical or laboratory findings would be helpful in determining JH’s degree of renal impairment
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