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Get Answer: What Possible Medications Question Guide

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This topic involves what possible medications. A strong answer should include explanation, application, and examples.

Original Question

what are possible medications that can be given to the patient in the case presented base on the signs and symptoms? Kindly include dosage route and nursing indication and consideration in a table format. Reference: https://www.nhs.uk/conditions/kidney-disease/treatment/ https://www.mayoclinic.org/diseases-conditions/chronic-kidney-disease/diagnosis-treatment/drc-20354527 Case: The patient is a 41-year-old male who has a long-standing history of hypertension and diabetes mellitus and presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and vomiting. He denies any other medical illnesses. On physical examination the patient is a well-developed, well-nourished male in moderate distress. Blood pressure 180/110, pulse 80, respirations 24 and he is afebrile. Body weight 76.5 kg. Cardiac exam has an S1, S2 and S4. The remainder of the exam is remarkable for 2+ lower extremity edema and superficial excoriations of his skin from scratching. Laboratory Values are as follows Results Normal Values Sodium 133 136-146 mmol/L Potassium 6.2 3.5-5.3 mmol/L Chloride 100 98-108 mmol/L Total CO2 15 23-27 mmol/L BUN 170 7-22 mg/dl Creatinine 16.0 0.7-1.5 mg/dl Glucose 108 70-110 mg/dl Calcium 7.2 8.9-10.3 mg/dl Phosphorus 10.5 2.6-6.4 mg/dl Alkaline Phosphatase 306 30-110 IU/L Parathyroid Hormone 895 10-65 pg/ml Hemoglobin 8.6 14-17 gm/dl Hematocrit 27.4 40-54 % Additional data are as follows: 24-hour urine collection at 850 ml Renal ultrasound: right kidney 9 x 6 cm; left kidney 9.2 x 5.8 cm Both kidneys illustrate hyperechogencity and no hydronephrosis

 
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