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Acute kidney injury case study with questions and answers
Single best answer question based on renal clinical case:
Single best answer question 1.
- A 50 year old alcoholic male presents with sepsis secondary to klebsiella pneumonia. His background includes IHD, previous pneumonia, hypercholesterolaemia and hypertension. Medications include: furosemide, enalapril, aspirin, clopidogrel, co-amoxiclav (current) and simvastatin
- He is treated with IV antibiotics and is managed on an ITU setting for 1 week
- Potassium 5.0
- Urea 24 (from 8)
- Creatinine 390 (from 60)
- Clinically he is mildly dry, with a BP 135/83, HR 90, he is catheterised with a U/O 35ml/hr
Which one of the following is the best management option?
- Switch to high dose IV furosemide, stop enalapril, give IV fluids to maintain urine output, daily bloods
- Stop furosemide, stop enalapril, add in dopamine and maintain adequate hydration to maintain urine output, daily bloods
- Stop furosemide, stop enalapril, adequate fluids to maintain urine output, daily bloods
- Continue furosemide, stop enalapril, high dose corticosteroids and continue adequate fluids to maintain urine output, daily bloods
- None of the above
- This man has risk factors for AKI (hypertension and dehydration) and is on various renotoxic medications including aspirin, enalapril (ACE-I) and furosemide (loop diuretic).
- The key is to maintain hydration to keep urine output reasonable (>0.5ml/kg/hr) while stopping as many renotoxic medications as possible.
- Fluids should be given and frusemide and enalapril stopped. He has a history of ischaemic heart disease so stopping aspirin is not ideal. Daily bloods to monitor response is advised.
- There is no evidence for dopamine (mentioned in option 2) or hydrocortisone (mentioned in option 4).
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Acute Renal Failure Case Study
Our kidneys are incredible organs that get rid of toxins, retain substances needed by our bodies, and maintain the right balance of electrolytes, minerals, and water. Find out what happens to this 27-year-old when toxins accumulate in her kidneys leading to acute renal failure.
Module 11: Acute Tubular Necrosis
A 27 year old female was seen by medical personnel at an after...
Renal Failure - Page 1
The patient was admitted to the hospital by the patient's...
Renal Failure - Page 2
Case Summary
Summary of the Case
Renal Failure - Summary
Answers to Case Questions
Renal Failure - Answers
Professionals
Health Professionals Introduced in Case
Renal Failure - Professionals
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Case Study 1: Chronic Kidney Disease with Dialysis. Scenario. K. is a 32-year-old woman being admitted to the medical floor for fatigue and dehydration. While taking her history, you discover that she has diabetes mellitus (DM) and has been insulin dependent since the age of 8.
Acute kidney injury case study with questions and answers Single best answer question based on renal clinical case: Single best answer question 1. A 50 year old alcoholic male presents with sepsis secondary to klebsiella pneumonia. His background includes IHD, previous pneumonia, hypercholesterolaemia and hypertension. Medications include: furosemide, enalapril, aspirin, clopidogrel, co ...
Outline. Mr. Stinson is a 52-year-old male with a history of HTN, DM Type II, CKD, and CHF. He presented to the Emergency Department (ED) complaining of severe itching, nausea, and vomiting. He appeared pale and is lethargic. He reported shortness of breath and the nurse notes crackles in his lungs.
Case Renal failure
Acute Renal Failure Case Study
Millie Jones Case Study Answer Key: Dyslipidemia and CKD Objectives 1. Student will associate normal urine albumin-to-creatinine ratios (UACR) with slower progression of chronic kidney disease (CKD). 2. Student will identify diet strategies that may reduce lipids in CKD. 3. Student will identify total 25(OH)D as the marker for vitamin D status ...
kidney case study. The glomerular filtration rate is decreased with. Click the card to flip 👆. inflammation and injury to the glomeruli, resulting in fluid retention, hypertension, and decreased filtration of metabolic waste products from the blood. Click the card to flip 👆.
Presentation of Case. Dr. Eugene P. Rhee: A 74-year-old man was evaluated in the nephrology clinic of this hospital because of chronic kidney disease. The patient had been in his usual state of ...
Abstract. The prevalence of chronic kidney disease and its risk factors is increasing worldwide, and the rapid rise in global need for end-stage kidney disease care is a major challenge for health systems, particularly in low- and middle-income countries. Countries are responding to the challenge of end-stage kidney disease in different ways ...
Harriet Nells Case Study Answer Key: Hypertension and CKD Objectives 1. Student will be able to identify chronic kidney disease (CKD) using the estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (UACR). 2. Student will associate improved blood pressure control with reduced risk for of CKD
1. Identify chronic kidney disease using estimated glomerular filtration rate (eGFR) and urine albumin- to-creatinine ratio (UACR) 2. Apply the basic steps for eating right for chronic kidney disease to the case study . Initial Visit Background . Juan Cruz is a 60-year-old Puerto Rican man with a recent diagnosis of chronic kidney disease
Iron supplement. A glomerular filtration rate of 13 mL/min is indicative of which stage of chronic kidney disease? Stage 5. Hemodialysis is used for which of the following options? - To remove excess water from the blood. - To remove toxins from the blood. - To prevent death due to complications. While reviewing the patient's chart to evaluate ...
Acute Kidney Injury. Case Study # Patient Profile. A. is a 70-year-old white woman who presented to the emergency department because of a 4- day history of increased shortness of breath and generalized weakness.
Nurse Marisol works in a family practice office and is caring for Robert, a 55-year-old male with a history of chronic kidney disease and type 2 diabetes, who's arrived for a follow-up appointment.After settling Robert in the exam room, Nurse Marisol goes through the steps of the Clinical Judgment Measurement Model to make clinical decisions about Robert's care by recognizing cues, analyzing ...
GFR. Chronic Kidney Disease: Mini Case Study (CC4) You are a nurse working in the Emergency Room and Mr. Riche, a 65 year old male presents to the ER with complaints of nausea, vomiting, and severe itching. The clients PHM consists of diabetes type 2, HTN, CKD, and CHF. You also notice that this patient is SOB, lethargic, and pale.
r Universidad Panamericana School of Medicine, Mexico City, MexicoThe Kidney Early Evaluation. (KEEP) Program was developed by the US National Kidney Foundation. KEEP focused on case-finding of CKD among adults with diabetes, hyp. rtension, or family history of diabetes, hypertension, and/or CKD. In 2008, K.
For the patient in case 1, because of his age, clinical history, and lack of other clear causes, the most appropriate course of action is to obtain blood urea nitrogen and creatinine levels ...
Case Study Objectives. Analyze and interpret clinical data and patient assessments to identify signs and symptoms of acute kidney injury (AKI) in a real-life patient scenario. Apply critical thinking skills to recognize the physiological mechanisms contributing to the development of AKI, considering factors such as dehydration, contrast dye ...
Day 1: A 62-year old, recently widowed male Hispanic patient, named Mr. Kevin Ulyses Blanco (K. U. B.) 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 ...
Dr. Eugene P. Rhee: A 74-year-old man was evaluated in the nephrology clinic of this hospital because of chronic kidney disease. The patient had been in his usual state of health when he was ...
Stubborn Grandma Mimi
Kidney Case Study. Case 1. A 35 year old sportsman visits his doctor complaining of back and side pain. The doctor asks him for a 24hr urine sample and the results are in the table below. The urine colour was yellow and not cloudy, volume was 900ml/24hr. Microscopic analysis suggest crystals.
The NKF states in its Kidney Disease Outcomes Quality Initiative guidelines for chronic kidney disease that there is no benefit from a protein intake higher than the RDA of 0.8 g/kg body weight and that this is a reasonable level to recommend for patients with chronic kidney disease in stages 1-3. 13 Thus, many respected nonprofit health care ...
A series of 10 case studies for Edexcel A Level Business Studies 1.3.5 Marketing Strategy including: a) The product life cycle b) Extension strategies: ... Each case study contains key points to consider and key discussion points along with a mark scheme and answer structure guidance following the PeCAN-PiE and AJIM models. Tes paid licenceHow ...
Case study questions are the new question format that is introduced in CBSE board. The resources for case study questions are very less. So, to help students we have created chapterwise case study questions for class 9 maths. In this article, you will find case study questions for CBSE Class 9 Maths Chapter 9 Circles.
A2: To approach case study questions effectively, follow these steps: Read the case study carefully: Understand the scenario and identify the key points. Analyze the information: Look for clues and relevant details that will help you answer the questions. Apply your knowledge: Use what you have learned in your course to interpret the case study and answer the questions.