Renal failure

Our patient is a 27yr old male with history of Crohn’s disease who presented to the ED with vomiting and nausea for 1 day. Patient has been having non-bilious non-bloody vomiting around 10-15 times /day. Patient complained of mild generalized abdominal pain but denied any diarrhea or fever. He denied any recent travel or sick contacts or eating outside food. Patient was a known case of Crohn’s diagnosed at an outside hospital –the outside hospital was contacted and the information was confirmed.…

and quickly arrive at the nursing home. We speak to the RN at the nurses’ station and obtain a full medical history of the patient. I notice that he had lived in the nursing home for almost 10 years and had recently been diagnosed with end stage renal failure and was going to his first dialysis appointment. As I enter the room and introduce myself I noted that the patient seemed very tired and low energy and barely acknowledged my presence as I walked into the room and spoke to him. As I smiled…

medication, severe or sudden dehydration, autoimmune kidney disease, acute tubular necrosis, urinary tract obstruction and reduced blood flow to the kidney. Risk factors for kidney injury include kidney and liver disease, diabetes, hypertension, heart failure and obesity. Symptoms of kidney injury are bloody stool, breath odor, fatigue, edema, bruising, mental status changes, and decreased appetite and sensation. Physical signals include edema and crackling in the lungs. Labs tests for diagnosis…

produce urine. GFR slowly falls with age, but if you are healthy, it should not be a problem. A GFR below 60 mL/min/1.73 m2 for at least 3 months is a sign of chronic kidney disease. If your GFR is lower than 15 mL/min/1.73 m2 you may have kidney failure, which requires immediate attention. Although GFR was previously evaluated by collecting a 24-hour urine sample, now it is quickly estimated (eGFR) by using equations. This process uses data from your weight, age and sex, as well as your serum…

Liver failure, caused by things such as hepatitis and cirrhosis, leads to an array of symptoms including cardiorespiratory insufficiency (hepatopulmonary syndrome; HPS) and renal failure (hepatorenal syndrome; HRS). Disregarding the cause of liver failure itself, discuss the development of both of these symptoms. Hepatopulmonary Syndrome Figure 1: Blood Flow in Normal Conditions and Hepatopulmonary Syndrome (Grace & Angus, 2013). Figure 1 (above) shows the blood flow in a normal patient (top),…

Summary An 85-year-old woman with a diagnosis of chronic renal failure. Complaints of weakness and fatigue after every dialysis session.Dialysis scheduled 3x/week. Upon initial physical therapy evaluation the patient was alert and oriented to person, time, and place. Upper and Lower extremity strength were grossly graded ⅗ to ⅘: Static and Dynamic sitting and standing was rated as good; Patient can walk independently without an assistive device. Vital signs are WNL. Home Environment…

Depending on how damaged Susan’s kidney are as a result it could take anywhere from a couple weeks or even a couple of years to recover. Long term effects are rare. Nevertheless chronic kidney disease and failure is seen in a small number of adults. If she develops kidney failure, her kidneys would require dialysis or a kidney transplant. For about a year Susan should attend regular checkups with a nephrologist until all signs of post streptococcal glomerulonephritis are cleared. In these…

Hyponatremia Hyponatremia is when the amount of salt (sodium) in your blood is too low. When sodium levels are low, your cells absorb extra water and swell. The swelling happens throughout the body, but it mostly affects the brain. Severe brain swelling (cerebral edema), seizures, or coma can happen as a result. CAUSES This condition may be caused by: • Heart, kidney, or liver problems. • Thyroid problems. • Adrenal gland problems. • Metabolic conditions, such as Syndrome of…

Most things in our body we can either have too much or too little of. Both can potentially be dangerous depending on their role in the human body. Potassium is very important electrolyte in our bodies; it helps with cell development and also plays a role in the electrical system of our body. A major organ affected by potassium is the heart. Potassium helps regulate our heart rate and rhythm. Too much or too little could cause an arrhythmia which is an abnormal heart rhythm. According to the Mayo…

Hiring people “who can get stuff done” which is also one the company’s core values. 3. Empowering the employees, taking their opinion in consideration and taking the decisions impacting the company as a whole. For example, the name change form Total Renal Care to Davita was done with employees voting for the name. 4. Focusing on Davita quality of Index which represented how well the patients have been looked after. It helped the employees directly see the positive outcome of their hard work…