Week 6 checkpoint - congestive heart failure for the past 5 years His doctor has told him that his heart is not functioning well needing more and

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Week 6 checkpoint By: Jerry Byrd University of Phoenix 11/30/2010 Scenario 1:
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Scenario 1: Scenario A: Acute renal failure. Ms. Jones, a 68-year-old female, underwent open- heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output. o What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom? Kidney’s regulate its own blood flow, when the kidney’s become hypoerfused in the case of heart failure the renal arteries become dilated. This can lead to the low volume of urine. o What other symptoms and signs might occur? Symptoms may include is decreased urine output, toxicity, shock and fever and dizziness. o What is causing Ms. Jones’s kidney disease? The tubular cells in the kidney are dying. o What are possible treatment options and prognosis? Fluid input through IV’s, dialysis, diuretic may use in a treatment plan. Scenario B: Chronic renal failure. Mr. Hodges, a 73-year-old man, has had
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Unformatted text preview: congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he is not urinating more than once a day. • • o Why is the condition of Mr. Hodges’s kidneys affecting the rest of his body? • He has chronic renal failure this leads to fluid retention this added retention can be very hazardous to his body. o As his chronic renal failure worsens what other symptoms and signs might occur in his respiratory, digestive, nervous, and urinary systems? • He may develop gi bleeds, liver disease, seizures and poor urine output. o What is causing Mr. Hodges’s kidney disease? • Hypoperfusin of the kidney. o What are possible treatment options and prognosis? • Decreasing the volume load on the body, by using diuretics. The prognosis is poor due to the decreasing functions of the kidneys. •...
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This note was uploaded on 04/07/2011 for the course HCA 240 taught by Professor Agnessamaniego during the Spring '10 term at University of Phoenix.

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Week 6 checkpoint - congestive heart failure for the past 5 years His doctor has told him that his heart is not functioning well needing more and

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