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Get Answer: Renal Failure Paste Question Guide

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to renal failure paste and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves renal failure paste. A strong answer should include explanation, application, and examples.

Original Question

RENAL FAILURE Cut and paste the Impact on Organ system(s) (below) in the box that aligns with the corresponding pathophysiologic basis. Then, cut and paste the treatment into the box that aligns with the underlying pathophysiology and corresponding Impact on Organ system(s). Then, cut and paste the Labs into the box that aligns with the pathophysiologic condition, the impact on organ system(s) and the treatment. SET UP here: Pathophysiologic basis: ___________________ Impact on organ system(s): ________________________ Treatment: _________________________ Labs: ___________________________ 1. Elevated BUN/creatinine IMPACT ON ORGAN SYSTEM(S): Impaired concentration (example) TREATMENT: _______________ LABS: ______________ 2. Failure to regulate/excrete fluids More Na+ and H2O absorbed IMPACT ON ORGAN SYSTEM(S): _______________ TREATMENT: _______________ LABS: _______________ 3. Renin release is not regulated- Angiotensin ll increases BP IMPACT ON ORGAN SYSTEM(S): _______________ TREATMENT: _______________ LABS: _______________ 4. Failure to excrete phosphate= Hyperphosphatemia makes Serum calcium levels go down. Failure to absorb vit D (no 2-3DPG) l IMPACT ON ORGAN SYSTEM(S): _______________ TREATMENT: _______________ LABS: _______________ 5. Failure to regulate A-B balance- Doesn’t excrete H+ions Does not re-absorb H2CO3- IMPACT ON ORGAN SYSTEM(S): _______________ TREATMENT: _______________ LABS: _______________ 6. Failure to excrete potassium IMPACT ON ORGAN SYSTEM(S): _______________ TREATMENT: _______________ LABS: _______________ 7. Lack of erythropoietin stimulating RBC production from bone marrow IMPACT ON ORGAN SYSTEM(S): _______________ TREATMENT: _______________ LABS: _______________ 8. Retained urochromes IMPACT ON ORGAN SYSTEMS: _______________ TREATMENT: _______________ LABS: _______________ CHOICES (cut and paste each one, only once) – MATCH Impact on Organ system(s) Metabolic acidosis- Kussmaul resp Higher BP HTN! Irritation/pruritus Edema/peripheral edema Fluid volume overload/pulmonary Immune suppression Impaired platelet Hyperphosphatemia= Hypocalcemia- chvostek’s/trouseau pulls from the bone- Osteoporosis! Hyperkalemia- cardiac conduction blocks Pleural effusions Bleeding! Seizures, coma Anorexia, nausea, vomiting Uremic fetor: Bad breath Pericardial effusions Uremic skin- Muscle weakness Anemia!! Sallow skin color Treatment Erythropoietin as needed Non-potassium-sparing diuretic agents (Lasix) Cation-ion exchange resins (Kaexalate) NaHCO3- (if critical) Restriction of potassium in diet Dialysis- if critical Decreased protein intake Dialysis Renal transplant Maintenance of adequate caloric intake Zofran Sodium and fluid Restriction! Lasix ACE inhibitors or ARBs Enalalpril Supplemental Vitamin D Administer glucose and insulin or sodium bicarbonate to drive potassium into the cells. Supplemental Calcium Phosphate binders (Renagel/Amphogel) Dialysis Labs K+6.5 Hgb- 7 BNP 1,000 Phos 6 Ca++ 7.5 Ph-721 pCO2-28 HCO3-18 PO2- 80 BUN 90 Cr 9 GFR- 14 PLTS- 90,000 Na+ 148

 
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