Kidney Failure
Scenario A: * What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom?
Mrs. Jones’ kidneys are impaired. The kidneys regulate their own blood flow as well as GFR. When the kidneys become hypoperfused in Mrs. Jones case, narrowing of the renal arteries, and vessels in the kidneys dilate with the help of prostoglandims to facilitate the flow. * What other symptoms and signs might occur? *
The most common symptom is less urine output, but in Mrs. Jones case she may experience hypertension, skin irritation, muscular cramps, and swelling around the eye, hands and feet. * What is causing Ms. Jones’s kidney disease? * * Mrs. Jones is suffering from preferential renal vasoconstriction, which decreases blood flow from the kidney to the heart and brain leading to acute renal failure. This was all caused from the progression of the heart operation. * * * What are possible treatment options and prognosis? * Some treatments that Mrs. Jones may undergo include, fluid resuscitation, medication and in some extreme cases, dialysis or hemofiltration may be required. * * * Scenario B * * Why is the condition of Mr. Hodges’s kidneys affecting the rest of his body? * * Because Mr. Hodges already has Chronic Renal Failure, added volume of retention because of vascular disease, affects the heart and kidneys. * * As his chronic renal failure worsens what other symptoms and signs, might occur in his respiratory, digestive, nervous, and urinary systems? * * Mr. Hodges may experience symptoms such as yellowness under the kin, water retention, and hypertension as well as skin irritation. He may also develop pulmonary edema or become dyspneic. Mr. Hodges has chances of suffering from poor urine output, GI bleeds, liver disease, and even seizures. * * What is causing Mr. Hodges’s kidney disease? * * Mr. Hodges’ cause of his kidney
Mrs. Jones’ kidneys are impaired. The kidneys regulate their own blood flow as well as GFR. When the kidneys become hypoperfused in Mrs. Jones case, narrowing of the renal arteries, and vessels in the kidneys dilate with the help of prostoglandims to facilitate the flow. * What other symptoms and signs might occur? *
The most common symptom is less urine output, but in Mrs. Jones case she may experience hypertension, skin irritation, muscular cramps, and swelling around the eye, hands and feet. * What is causing Ms. Jones’s kidney disease? * * Mrs. Jones is suffering from preferential renal vasoconstriction, which decreases blood flow from the kidney to the heart and brain leading to acute renal failure. This was all caused from the progression of the heart operation. * * * What are possible treatment options and prognosis? * Some treatments that Mrs. Jones may undergo include, fluid resuscitation, medication and in some extreme cases, dialysis or hemofiltration may be required. * * * Scenario B * * Why is the condition of Mr. Hodges’s kidneys affecting the rest of his body? * * Because Mr. Hodges already has Chronic Renal Failure, added volume of retention because of vascular disease, affects the heart and kidneys. * * As his chronic renal failure worsens what other symptoms and signs, might occur in his respiratory, digestive, nervous, and urinary systems? * * Mr. Hodges may experience symptoms such as yellowness under the kin, water retention, and hypertension as well as skin irritation. He may also develop pulmonary edema or become dyspneic. Mr. Hodges has chances of suffering from poor urine output, GI bleeds, liver disease, and even seizures. * * What is causing Mr. Hodges’s kidney disease? * * Mr. Hodges’ cause of his kidney