Renal Failure Case Study Scenario

 

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P (.3 )Normal 3.( – (.(+

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P& (% J )Normal A-(%+

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5 3.A )Normal 3.( – (.(+

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Creat %%.(6 J )Normal 8.(-%.B+

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7@ %% K )Normal %3.( to %>.(+

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5t/= %.3A )&arget is H %.B+

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2RR >8 )Normal H 6(G+

Medi$ation

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Cal$ium a$etate- redu$ing #lood p!osp!ate leels

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 Nep!roite- $om#ination o" @ itamins used to treat or preent itamin de"i$ien$y

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Sensipar- $al$imimeti$ agent t!at in$reases t!e sensitiity o" t!e $al$ium-sensing re$eptor 

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CoLaar- keeps #lood essels "rom narrowing, w!i$! lowers #lood pressureand improes #lood "low

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Caredilol- to treat !eart "ailure and !ypertension

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;asi- treats "luid retention

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Pep$id- treat and preent ul$ers in t!e stoma$! and intestines

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&raatan- to treat in$reased pressure in t!e eye

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Sodium #i$ar#onate- to reliee !eart#urn and indigestion

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;ipitor- redu$es ;D;, w!ile in$reasing D;

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Clopidogrel #isul"ate- used to preent #lood $lots

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emplar- man-made "orm o" itamin D, to treat or preent oera$tie  parat!yroid gland

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*poetin al"a- to treat anemia

 Nutrition Needs

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5$al B,BA8 – B,668 5C; )38 – 3( 5C;/57+

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Protein %.B 7 PR )%.B 7/57+

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4luid %888 M; or  C2PS

b. Diagnosis (PES Statement

ltered nutrition related la# alues related to end stage renal disease as eiden$ed  #y altered Creatinine )%%.(6+ and P& )(%+.

ltered 7I "un$tion related to disease state as eiden$ed #y patient $/o nausea andomiting.

In$reased nutrient needs related to end stage renal disease as eiden$ed #y patient re$eies !emodialysis 3 times per week.

c. Inter!ention Plan " Implementation

 Nutrition related to !ealt!/disease Nutrition edu$ation on #asi$ renal diet, !ig!  potassium "oods, "luid restri$tion and sna$k ideas.

d. #onitoring$E!aluation

1ill monitor weig!t, patient reported intakes, la# alues, 7I "un$tion, renal "un$tion, and PC.

e. Documentation

Completed

Если только Стратмор не придумал что-то особенное и не обошел мои фильтры. Повисла тягостная тишина. Когда Мидж заговорила, ее голос был мрачным: - Стратмор мог обойти фильтры. Джабба снова вздохнул. - Это была шутка, Мидж.

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