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Week 6 checkpoint - Week 6 Checkpoint Kidney Failure 1 Week...

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Week 6: Checkpoint Kidney Failure 1 Week 6: Checkpoint Kidney Failure January 24, 2011 Minnie Bryant HCA/240 Natasha Brown
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Week 6: Checkpoint Kidney Failure 2 Scenario #1 Acute renal failure- Ms. Jones, a 68yr. old female, underwent open-heart surgery to replace several blocked vessels in her heart. On the first day postoperatively, it was noticed that she had very little urine output. 1. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom? Ms. Jones’s kidney function has been damaged. (Less glomerular filtration). 2. What other symptoms and signs might occur? Ms. Jones hyper tension may continue. She may experience puffiness around her eyes, on her hand and feet. There can also be muscular cramps and skin irritation. 3. What is causing Ms. Jones’s kidney disease? As the heart operation progressed, it led to preferential renal vasoconstriction. This diverted blood supply away from the kidney to the brain and heart, causing Acute Renal Failure. Often this occurs in numerous patients who have undergone open heart surgery.
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