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Dr. Chip
Dr. Chip, Doctor (MD)
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Experience:  Over 20 yrs of Family Practice
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Scenario 1. Acute renal failure: Ms., a 68-year-old female,

Resolved Question:

Scenario 1.
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.
What is happening to Ms. Jones's kidneys, and why is it causing the observed symptom?
What is causing Ms. Jones's kidney disease?
Scenario 2.
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.
Why is the condition of Mr. Hodges's kidneys affecting the rest of his body?
As his chronic renal failure worsens, what other symptoms and signs might occur in his respiratory, digestive, nervous, and urinary systems?
What is causing Mr. Hodges's kidney disease?
What are possible treatment options, and what is the prognosis?
I will give bonus................ Thanks...........
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Chip replied 5 years ago.
The first scenario is fairly simple, but the second is asking for a lot more information. How detailed does this need to be and have you done any work on the assignment yourself?
Customer: replied 5 years ago.
Has to 25 to 30 words for each questions. I answered other questions. Second scenario is a little hard for me.
Expert:  Dr. Chip replied 5 years ago.
OK--give me a few minutes with this. Don't post anything until after I post my answer.
Expert:  Dr. Chip replied 5 years ago.
OK. For Scenario one--this is acute tubular necrosis--damage to part of the kidneys presumable from low blood pressure from the heart condition. This is usually a temporary even and the kidneys for the time being have lost the ability to filter the blood and excrete impurities and water.

Scenario two--the chronic renal failure may be from heart disease, hypertension, diabetes, or a combination of those. The inability of his kidneys to manage the fluid balance of the body results in excess fluid being retained and putting strain on his heart. Chronic renal failure results in cardiac disease, electrolyte imbalance, fluid overload and possible pulmonary edema and respiratory compromise. Treatment is with medications like ACE inhibitors, salt and fluid limitations, and prednisone. Prognosis is guarded considering multiple organ involvement.
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Customer: replied 5 years ago.
I was wondering if you had references for this assignment?
Expert:  Dr. Chip replied 5 years ago.
As in a link or two with more information?
Customer: replied 5 years ago.
I need a reference for each scenario to make a work cited page.
Expert:  Dr. Chip replied 5 years ago.
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