A physician is treating a patient exhibiting symptoms of impaired renal function following a massive hemorrhage. The physician orders a serum sodium and a PAH clearance test. The patient has a serum PAH of 1.0 mg/dL, urine PAH of 200 mg/dL, and a urine volume of 240 mL in 2 hours. The serum sodium is decreased.find clearance
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- In reviewing the patient’s current information, a concern exists that acute kidney injury has developed. Select to highlight the laboratory information that would support this concern.UrinalysisCasts - +++Cola-color to urineProteinuriaBlood ValuesRBC - 3.9 cells/L (4.0-4.9 cells/L)Hgb 10 g/dL (12-16 g/dL)Hct-40% (37%-48%)WBC 11.0 cells/L (4.0-10.0 cells/L)Platelets - 140 cells/L (150-450 cells/L)Sodium - 140 mEq/L (135-145 mEq/L)Potassium - 4.5 mEq/L (3.5-5.2 mEq/L)BUN - 32 mg/dL (5-20 mg/dL)Creatinine 1.8 mg/dL (0.5-1.5 mg/dL)Blood Glucose - 180 mg/dL (nonfasting) (<200 mg/dL)AST-40 Units/mL (5-40 Units/mL)ALT - 30 Units/mL (5-35 Units/mL)Bilirubin (total)- 0.8 mg/dL (<1.0 mg/dL)Albumin - 4.0 (3.5-5.5 g/dL)PT-22 (11.5-14 seconds)Atrial natriuretic peptide has been found to Group of answer choices 1. inhibit sodium reabsorption by the collecting ducts. 2. increase the release of renin from the juxtaglomerular apparatus. 3. decrease sodium secretion and increase blood pressure. 4. be produced by the adrenal cortex. 5. constrict afferent arterioles, decreasing the glomerular filtration rate.The laboratory received a 24-hour urine collection from a 26-year old male (body surface area = 2.34m2), and the total urine collection volume measured 800 mL in 24 hours. After creatinine determinations were performed by the alkaline picrate method, interpret the result. Plasma creatinine: 1.2 mg/dL Urine creatinine: 150 mg/dL a. The creatinine clearance of the patient is above reference range. b. The creatinine clearance of the patient is below reference range. c. The creatinine clearance of the patient is within reference range. d. The creatinine clearance of the patient is borderline high.
- Match the following. Renal cortex Renal medulla Ascending loop of Henle Afferent Arteriole Glomerulus Efferent Arteriole Descending loop of Henle Distal Convoluted Tubule Collecting Duct Bowman's Capsule Proximal Convoluted Tubule Match the following. Cortical radiate atery Arcuate artery Interlobar artery Vasa recta Renal papilla Efferent arteriole Renal Cortex Afferent Arteriole Renal medulla Glomerulus Renal Capsule Peritubular capillaryRECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED. SHOW COMPLETE COMPUTATION IN THE TABLE- LABEL/ NAME ALL THE INATAKE PER You admitted a patient with hypotensive crisis; with the following data and doctor’s order Patient Juan Dela Cruz, 45 y/o, the patient NGT for gavage feeding every 4 hours. With Indwelling Foley Catheter for urine output monitoring 6:30am Clients VS BP=70/40 RR=15 PR=59 O2 Sat=98% monitor I &O every hour Doctor’s Order: Fluid Regimen: (R hand) Start IVF of D5LRS 1L to run for 8 hours using macroset with Side drip of Levophed: 2 ampules + 96 cc of PNSS x 15 ugtts/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 10 gtts/min; To Start Blood transfusion of 2-unit PRBC once available properly typed and crossmatched You received the patient at exactly 7:00 AM and started the fluid regimen 8:00 AM – started gavage feeding of 1 glass osteorized feeding with 1/2 glass of plain water to dilute the feeding. 8: 30 AM -packed…Glomerulonephritis is an inflammation of the renal cortex. As the body responds, antigen-antibody complexes accumulate between the foot processes of podocytes. This will cause the rate of filtrate formation to Increase Decrease O Stay the same As aldosterone secretion increases, plasma [K + ] will Increase Decrease Stay the same Back Next Page 9 of 12 Clear form Never submit passwords through Google Forms. search 27°C
- Despite the administration of dobutamine, there was no substantial improvement in urine production after 24 hours. It is a phosphodiesterase, and it is called milrinone. The inhibitor was administered as a bolus dosage of 25 g/kg, followed by a continuous infusion of 0.1 g/kg/min to improve inotropy. Blood pressure, urine output, and The edema did not get any better. The blood pressure is 90/70 mmHg. The creatinine level in the blood was 3.2 mg/dL, according to the serum chemistry. Which one of them is your favorite? Following the recommended treatment methods will help him improve his condition. A. Start peritoneal dialysis as soon as possible (PD) B. Hemodialysis should be started. C. Activate continuous venovenous hemodiafiltration for the first time (CVVHDF) D. To begin, take tolvaptan. E. Begin the process of aquapheresis.Use this paragraph to answer the following 2 questions. To evaluate kidney function in a 45-year-old woman with type Il diabetes, you ask her to collect her urine over 24 hours. She collects 3600 ml of urine in that period. The clinical laboratory returns the following results after analysing the patient's urine and plasma samples: plasma creatinine 4 mg/dL, urine creatinine 32 mg/dL, plasma potassium 5 mmol/L, and urine potassium 10 mmol/L.Following surgery to correct a massive hemorrhage, a 55-year-old patient exhibits oliguria and edema. Blood test results indicate increasing azotemia and electrolyte imbalance. The glomerular filtration rate is 20 mL/min. Urinalysis results are as follows: COLOR: Yellow KETONES: Negative CLARITY: Cloudy BLOOD: Moderate GRAVITY: 1.010 BILIRUBIN: Negative pH: 7.0 UROBILINOGEN: Normal PROTEIN: 3+ NITRITE: Negative GLUCOSE: 2+ LEUKOCYTE: Negative Microscopic: 50–60 RBCs/hpf 2–3 granular casts/lpf 3–6 WBCs/hpf 2–3 RTE cell casts/lpf 3–4 RTE cells/hpf 0–1 waxy casts/lpf 0–1 broad granular casts/lpf What diagnosis do the patient’s history and laboratory results suggest? What is the most probable cause of the patient’s disorder? Is this considered to be of prerenal, renal, or postrenal origin?
- Assuming that the GFR for a person is 175 ml/min. which one of the followings would be more appropriate to describe the case Question 55 options: More filtration permeability Less NFP More collecting ducts available Decrease in GFRGive example of an emerging techniques in evaluation of renal diseases that you may suggest to a patient. And explain why you would you recommend such evaluation technique.Match each clinical scenario to the most likely renal function. Each selection will be used ONCE. 1. Chronic Kidney Disease ONLY 2. Acute Kidney Injury ONLY 3. Acute on Chronic Kidney Disease (pre-existing CKD with concurrent AKI) 4. End-Stage Renal Disease A middle-aged patient with Type 1 DM has an Albumin-to- Creatinine urinary ratio (ACR) of 300 and a GFR of 47. Their serum creatinine is fairly close to their previous level. An otherwise healthy patient is admitted to the hospital for a traumatic injury resulting in massive blood loss. Their serum creatinine is very high compared to baseline. A patient whose baseline GFR is about 40 has received vancomycin antibiotic therapy for two weeks. Their serum creatinine is higher today than it was yesterday. A patient who has been diagnosed with CKD and albuminuria for several years has been told by their PCP that they need to start dialysis soon as they are experiencing significant fluid retention and hypertension despite taking loop…