(精编)【高血压英文教学精品课件】 A Case Study about Chronic Renal Disease.pptVIP

A Case Study about Chronic Renal Disease by Michelle LeBlanc Patient History 27 year old female who presented to the Emergency Room with the following symptoms: Vomiting for 2 days Dehydration Sever migraine headache Blood pressure 158 / 100 Patient has a history of Chronic Renal Disease with nephrectomy and transplant one year prior Questions to Consider What complications are associated with Chronic Kidney Disease (CKD)? How does CKD affect kidney function? What are the symptoms of CKD? What laboratory results correlate with kidney disease? What is dialysis? Laboratory Results TEST PATIENT RESULTS REFERENCE RANGES Na (mmol/L) 136 135 – 145 K (mmol/L) 6.8 3.5 – 5.2 Cl (mmol/L) 93 95 – 107 CO2 (mmol/L) 17 21 – 31 Anion Gap 26 5 – 17 Glucose (mg/dL) 94 65 – 110 BUN (mg/dL) 83 8 – 22 Creatinine (mg/dL) 14.5 0.7 – 1.5 Calcium (mg/dL) 9.3 8.5 – 10.5 Phosphorous (mg/dL) 10.4 2.3 – 4.3 Albumin 3.9 3.5 – 5.1 Chronic Kidney Disease Chronic kidney (or renal) disease occurs when the kidneys are no longer able to clean toxins and waste products from the blood and perform their functions to full capacity Chronic Kidney Disease Presently there are about 240,000 end stage renal disease patients in the United States with 200 cases per 1 million persons The number one cause of renal disease is Diabetes Mellitus which is responsible for 40% of all kidney failure High blood pressure (or hypertension) accounts for about 24% CKD may be hereditary or likely acquired What are the warning signs of kidney disease? Although many forms of kidney disease do not produce symptoms until late into the course of the disease, there are six warning signs of kidney diseases: High Blood Pressure Blood and/or protein in the urine. A creatinine blood test greater than 1.2 for women and 1.4 for men. A filtration rate (GFR) less than 60 More frequent urination, particularly at night; difficult or painful urination. Puffiness around eyes, swelling of hands and feet, especially in childr