online solution: Week 7 Renal System Case Study (read instructions below…

Week 7 Renal System Case Study (read instructions below… Week 7 Renal System Case Study (read instructions below carefully!!!)Instructions: Upload a word document with answers. Must have APA resource and rationale with each answer for full-credit. Case #1 (8 Questions Total) The patient is a 46 year-old male who has a longstanding history of uncontrolled hypertension and diabetes Type II, presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and emesis. He denies any other medical illnesses.On physical exam the patient is a well-developed, well-nourished male in moderate distress. Blood pressure 180/110, pulse 80, respirations 24 and he was afebrile. Body weight 76.5 kg. Head/Ear/Neck/Throat (HEENT) exam was remarkable for fundoscopic findings of A-V nicking and copper wire changes consistent with hypertensive injury. Cardiac exam had an S1, S2 and S4 heart sounds. The remainder of the exam was remarkable for 2+ lower extremity edema and superficial excoriations of his skin from scratching.Laboratory DataChemistry ResultsNormal Values UrinalysisSodium 133 136-146 mmol/L pH 6.0Specific gravity 1.010Protein 1+Glucose negativeAcetone negativeOccult blood negativeBile negativeWaxy casts      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/dlAlkaline Phosphatase 306 30-110 IU/LParathyroid Hormone 895 10-65 pg/mlHemoglobin 8.6 14-17 gm/dlHematocrit 27.4 40-54 %Mean cell volume (MCV) 88 85-95 FL24-hour urine protein and creatinine – volume 850 ml, protein 600 mg/dl and creatinine 180 mg/dlRenal ultrasound- Right kidney 9 x 6.0 cm, Left kidney 9.2 x 5.8 cmBoth kidneys illustrate hyperechogenicity and no hydronephrosis.Case #1 Questions”Presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and emesis.” what do the symptoms suggest to you?What is the significance of the finding ” superficial excoriations of his skin from scratching.”? What does S4 signify? What cardiac findings will you expect to find in a hypertensive?What are the possibilities for his 2+ lower extremity edema?What evidence in renal ultrasound, will suggest obstruction?Is the cause of this patient’s renal failure acute or chronic? How did you arrive at that conclusion? Should this patient be started on dialysis? What are the indications for dialysis?What is the most likely diagnosis for his renal disease? How did you arrive at that conclusion? Health Science Science NursingNURSING 123

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more