Case Study #1RF is 45 yo, married, and works as a city engin…
Case Study #1RF is 45 yo, married, and works as a city engineer for a large municipal government. He cited a recent hx of nausea, anorexia, hematuria, and swollen ankles during a physical examination. His wife reported that he had been tiring more easily than usual during the past year and that he recently complains of a metallic taste in his mouth. A hx of prior illnesses proved negative, except for a severe case of influenza with sore throat 10 years ago. RF’s BP was 160/98 and he has lost 4 kg during the past 2 months. A urinalysis shows albumin and red and white blood cells. He is 6′ 1″ and 172 lbs. His current urine output is approximately 450 cc/day.Lab values are as follows:BUN 93 mg/dl GFR 19 ml/min HCT 32% Hgb 11 mg/dl (14-17.4 for males) What factors affect the amount of protein needed by persons with chronic CKD? How would protein needs change when be begins dialysis?
Read DetailsThe nurse in the outpatient clinic is triaging a 19-year-old…
The nurse in the outpatient clinic is triaging a 19-year-old client with reports of auditory hallucinations, paranoia, and alterations in speech. The nurse’s assessment shows the client is apathetic, and she reports quitting her job from a lack of motivation. The nurse suspects that this client is at highest risk for
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