Question

Kimberly, a 35 year old female client presents withinauseasuria, and lower Medical history is positive for hypertension, Kimberly's vital signs are 22 respiratory rate, and blood pressure 150/90 mmHg. She has significa ankles. She doesn't remember urinating much in the past 12 hours. Her below (NOTE: SCr baseline is 1 me ser baseline is 1 mg/dL), Doctor orders urinalysis, results also seen below. erly's vital signs are 98.9 F, heart rate 10Sbpm, HE. She has significant(pitting edema in her much in the past 12 hours. Her metabolic panel is seen Metabolic Panel (Blood) Urinalysis Protein Specific Gravity Urinalysis Results Patient Patient Normal 3 g/dL None 1.007 1.005-1.030 pH Lab Value Sodium Potassium Chloride Glucose Calcium CO2 Phosphorus Blood pH BUN Creatinine Patient 150 5.9 111 137 7.1 14.0 10.4 1 7.32 59 4.0 Normal 135-145 mEq/L 3.5-5.0 mEq/L 97-107 mEq/L 60-110 mg/dL 8.5-10.5 mg/dL 20-30 mEq/L .3-4.3 mg/dL .38-7.42 -24 mg/dL 0.6-1.2 mg/dL 5.5-6.5 None Glucose Blood Casts 2 7 7 5.2 Present (2+) 3+ Granular, epithelial 5-15 /field 6-15 /field 30-50 /field0 WBCS RBCS Epithelial cells Absent or rare 0-1 per field Rare -3 per field a. What do the values above indicate? Give some pathophysiological words you have learned to describe her lab values, hint: hypocalcemia) Hypes Kalenica, Hype notremta, Hypocalenia b. Blood urea nitrogen (BUN) and creatinine can be used to describe what condition that you suspect in Kimberly's case? Acute Cidrey hung c. The RIFLE classification system may indicate (circle one): Risk, injury, Failure, Loss, ESRD d. Related to blood pH, what type of disorder is this? Melebbie lerdosts e. Indicate prerenal (pre), postrenal (post), or intrarenal (in): a. Peccal Dehydration b. Staceel _Vancomycin (antibiotic) C. Stenosis of the renal artery d. P l calculi or kink in ureters or catheters e. P a albenign prostatic hyperplasia f. Sectes vasculitis

Answer 1

Answers:

a. The lab values of Kimberly's indicates hypernatremia, hyperkalemia, hyperchloremia, and hyperglycemia. Her creatinine and BUN levels are elevated and low blood PH indicates acidic. The urinalysis show urine is acidic in nature and presence of glucose, blood, and epithelial cells.

b. Kimberly's history and lab values show that he is affected by acute kidney injury. It is a sudden episode of kidney failure occurs due to the accumulation of waste products in the blood. It is also caused by a decreased flow of blood.

C. According to RIFLE Classification of AKI indicates, the patient is in a Failure state. Because the serum creatinine is equal or greater than 4mg/dL is considered as a failure state.

d. The patient lab values of low PH and kidney fails to remove the excess acid from the body. This denotes the patient is suffered from metabolic acidosis.

e. Indication:

a. prerenal dehydration - It occurs in the acute stage of renal failure and hydrate to make patient euvolemic.

b. intranatal Antibiotic - Antibiotic are administered to eliminate the toxin and eosinophils.

c. intranatal stenosis of an artery - It occurs in intrarenal stage due to macrovascular dysfunction as a result of hypertension.

d. prerenal calculi or kink in ureters or catheters- It is managed by Eliminating the offending agent.

e. Postrenal benign prostatic hyperplasia - Treat of an underlying cause.

f. intrarenal vasculitis- This occurs due to macrovascular dysfunction.