StudentShare solutions
Triangle menu

M, a 72 year-old widow with neprohritic syndrome - Assignment Example

Nobody downloaded yet

Extract of sample
M, a 72 year-old widow with neprohritic syndrome

Multiple substances such as, water, urea, creatinine, uremic toxins, and drugs move from the blood into the dialysate, thus facilitating removal from the blood. Solutes are transported across the membrane by either passive diffusion or ultrafiltration. M also received 7 sessions of Plasma Exchange. Plasma Exchange is a procedure in which blood is separated into different parts: red cells, white cell, platelets and plasma. The plasma is removed from the blood and a plasma substitute replaced. M had chemotherapy. Chemotherapy is the treatment which uses anti-cancer drugs to kill cancer (Myeloma) cells. Myeloma is the cancer that affects cells in the bone marrow called plasma cells leading to damage to the kidney. Haemodialysis and Plasma Exchange will correct M's blood chemistry and therefore relieve her present symptoms.
M is hypertensive due to fluid overload or as a result of the failure of the kidneys. The Management of M's hypertension will have the highest priority. As Redmond and McClelland (2006) noted prompt recognition and treatment of hypertension are essential because cardiovascular disease including coronary artery disease, atherosclerosis, stroke and left ventricular hypertrophy are the most common cause of death in patients with kidney disease. Risk reduction measures to prevent cardiovascular disease may delay the progression of kidney disease (in ARF or is the effect here Reno protective). ACE inhibitors or angiotensin receptor blockers (ARBs) are the drug of choice (Thomas 2004); however deterioration in renal function may follow initiation of treatment with these medications (DOH 2005, BNF 2006). Since hypertension can have deleterious effects on both cardiovascular and kidney functions, the long-term protection provided by ACE inhibitors (or ARBs) out weighs the risk they pose (Thomas 2004) (this is for ERF is it the same for ARF - CHECK).
Because acute renal failure is a catabolic state, the patient can become nutritionally deficient. Total caloric intake should be 30 to 45 kcal (126 to 189 kJ) per kg per day, most of which should come from a combination of carbohydrates and lipids. In patients who are not receiving dialysis, protein intake should be restricted to 0.6 g per kg per day. Patients who are receiving dialysis should have a protein intake of 1 to 1.5 g per kg per day (Agrawal 2000).
Hyperphosphatemia
The patient has hyperphosphatemia. Phosphate is normally excreted by the kidney and phosphate retention and hyperphosphatemia may occur in ARF. Phosphate - binding agents may be used to retain phosphate ion in the gut. The most common agent is calcicihew, although M is on this drug she needs education on when to take the tablets or maybe increase the dosage.
Uremia
Caloric intake shou ...Show more

Summary

M is a 72 year-old widow with neprohritic syndrome, temporal arthritis, osteoporosis, severe hypertension and Myeloma. M has two daughters however she lives on her own. Her present complaints are: - itching, poor appetite, nausea, lower back pain and lethargy…
Author : cathrine17
M, a 72 year-old widow with neprohritic syndrome essay example
Read Text Preview
Save Your Time for More Important Things
Let us write or edit the assignment on your topic
"M, a 72 year-old widow with neprohritic syndrome"
with a personal 20% discount.
Grab the best paper

Check these samples - they also fit your topic

M
This is M22. The text tells us that the vignette is a kind of story, relating in this case to a happening during my time teaching Arabic as a second language. This teaching is the focus of my action research. The vignette is supposed to surface insights into an aspect or aspects of that narration that yields surprises, or that appears to me as striking or out of the ordinary.
4 pages (1000 words) Assignment
M 25
As the literature describes, there are several methods under this set. These are the 2 plus 2, the “Muddiest Point”, the “Minute Paper”, the “Plus-Minus-Question Mark”, and the RSQC2. These methods have the power of being brief, and of being able to cull immediate feedback and insights from the students.
3 pages (750 words) Assignment
Metabolic Syndrome
Metabolic syndrome is increasing in first and third world nations, in both male and female and in adults and children. The prevalence of MetS depends on the measures applied to establish inclusion and the composition of the targeted population (ethnicity, age, race, sex).
4 pages (1000 words) Assignment
Increasing Literacy and Reading Competency of a Four-Year Old Learner
This paper was written purely based on my understanding of research I have done, and what I have learnt thus far in class. I do not have any student on hand, hence I choose to work with my niece. Thank you. 1. Describe the student's special need using evidence to support your observation (e.g.
9 pages (2250 words) Assignment
Metabolic Syndrome
The prevalence of MetS depends on the measures applied to establish inclusion and the composition of the targeted population (ethnicity, age, race, sex). The most used criteria are those of the NCEP-ATP III, and IDF. According
4 pages (1000 words) Assignment
Metabolic Syndrome
7009). The mentioned symptoms are presented by the patient in this given case study. In this case, the patient contained metabolic
2 pages (500 words) Assignment
Forensic Pathology Case Study: The 13-Year-Old Male
He did stand up, had no apparent difficulty in walking, and proceeded out of the school grounds.” This would have been also aggravated by the possibility that the young many may have had a
2 pages (500 words) Assignment
The Effect of Water Fluoridation and Social Inequalities of Dental Caries in 5-year Old Children
hip between caries experience and social class in 5 year old children in Newcastle and Northumberland, by Carmichael CL, Rugg-Gunn AJ, French AD, Cranage JD. IV. The relationship between social class and caries experience in 5 year old children in Newcastle and Northumberland
1 pages (250 words) Assignment
Forensic Pathology Case Study: The 2-Year-Old Child
This is her first contact of the day with the baby. 911 is called and child is transported to hospital, and pronounced DOA. Autopsy examination reveals a
1 pages (250 words) Assignment
CUSHING'S SYNDROME
The hormone helps in responding to stressful situation and influences body tissues. The condition is more common in women as compared to men and occurs between the 20 and 40 years (Nieman, 2013). The condition is caused by cortisol-like medications or by a
1 pages (250 words) Assignment
Hire a pro to write
a paper under your requirements!
Win a special DISCOUNT!
Put in your e-mail and click the button with your lucky finger
Your email
YOUR PRIZE:
Apply my DISCOUNT
Comments (0)
Click to create a comment