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Jayendra
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Experience:  BE (Electrical), ISO Internal Auditor
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CheckPoint Kidney Failure Resource Ch. 11 of Human

Resolved Question:

CheckPoint: Kidney Failure
• Resource: Ch. 11 of Human Diseases
• Due Date: Day 4 [Individual] forum
• Answer questions 1-8 below. In each scenario, the patient is experiencing renal failure.
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.
1. What is happening to Ms. Jones’s kidneys, and why is it causing the observed
symptom?
2. What other symptoms and signs might occur?
3. What is causing Ms. Jones’s kidney disease?
4. What are possible treatment options and prognosis?
Scenario B: Chronic renal failure. Mr. Hodges, a 73-year-old man, has had 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.
5. Why is the condition of Mr. Hodges’s kidneys affecting the rest of his body?
6. As his chronic renal failure worsens, what other symptoms and signs might occur in
his respiratory, digestive, nervous, and urinary systems?
7. What is causing Mr. Hodges’s kidney disease?
8. What are possible treatment options and prognosis?
Submitted: 5 years ago.
Category: Homework
Expert:  Jayendra replied 5 years ago.

Hi,

 

refer:-

http://www.nephrologychannel.com/ras/index.shtml

 

 

Scene A.

1 - Her kidney function has been impaired. (less glomerular filtration).

2 - Hyper tension may continue, She might report skin irritation, muscular cramps and

puffiness around eyes and on hands and feet.

3 - As the heart operation progressed, it led to preferential renal vasoconstriction.

This diverted blood supply away from the kidney to the heart and brain, leading to

Acute Renal Failure. Indeed this has been known to happen in many patients who

undergo open heart surgery.

4 - Since in most cases, of Acute Renal Failure, the kidney recovers, medication or

dialysis is indicated, till such time as her natural urine output recovers.

 

Scene B.

5 - As it is basically the result of vascular disease, it affects both the kidneys and the

heart.

6 - He will report hypertension, skin irritation, yellowness under skin, water retention

under puffy areas on hands and feet, and muscular cramps.

7 - AS-RAS or Atherosclerotic Renal Artery Stenosis, is a vascular disease leading to the hardening of the arteries. Atherosclerosis in general hardern the arteries all over the body and hampers blood flow to the organs all over the body.

8 - Renal angioplast / Balloon Angioplasty are the remedies. Prognosis is not totally clear. But the leading cause has been found to be cardiovascular disease.

 

Note:- I personally know a few people with a completely different nephrological issue, which is IgA Nephropathy.

 

regards

Jayen

Customer: replied 5 years ago.
sorry but i needed this last night by 3 am but thanks anyways
Expert:  Jayendra replied 5 years ago.

Hi,

 

Something certainly is very wrong here.

I will check out with the mods why this happened.

 

I answered your question within 3 hours and 35 minutes after you posted it, ie on 25th December itself.

 

here is the history.

 

a) - you posted your question at

CheckPoint: Kidney Failure • Resource: Ch. 11 of Human

Sent to Homework Experts December 25 2008 at 8:02 PM

 

b) - I answered it at

December 25 2008 at 11:37 PM (3 hours and 35 minutes and 17 seconds later)

 

c) - You checked it at

December 26 2008 at 5:55 PM (18 hours and 17 minutes and 48 seconds later)

 

I feel answering a question within 3 hours, is reasonably fast!

 

On top of that, strangely, the question time limit still shows

Time Left: 18 hours 2 minutes Status: Awaiting Expert Reply Value: $20

 

This is to convey to you that i was quite prompt in answering.

 

regards

Jayen

Jayendra, Engineer
Category: Homework
Satisfied Customers: 314
Experience: BE (Electrical), ISO Internal Auditor
Jayendra and 3 other Homework Specialists are ready to help you
Customer: replied 5 years ago.

maybe this was my mistake let me check it out and see if i have confused this with another question. Sorry if i did. Ill get back to u by tomorrow. thanks

Expert:  Jayendra replied 5 years ago.
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