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[Answered]: An elderly patient is being care for with initial…

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An elderly patient is being care for with initial complains of decreased urine output over the past 2 days, fatigue, nausea, and feeling “swollen”. His wife reports recent confusion and lethargy. Medical History: Hypertension, Type 2 Diabetes Mellitus, Osteoarthritis. Current medications: Lisinopril, Metformin, Acetaminophen. Urine output: 250 mL in past 24 hours. Weight gain 2.5 kg in 3 days, edema in lower extremities. Vital signs: BP: 92/58 mmHg, HR: 108 bpm, RR: 20, Temp: 98.6°F. See lab values below: BUN: 52 mg/dL ↑ Creatinine: 3.6 mg/dL ↑ (baseline 1.0 mg/dL) GFR: 20 mL/min ↓ Potassium: 6.1 mEq/L ↑ Glucose: 180 mg/dL Urinalysis: Proteinuria, brown-colored urine What clinical findings (subjective/objective data) suggest that this patient’s kidneys may not be functioning properly? This patient has acute kidney injury. What is the diagnostic criteria for acute kidney injury? Describe the differences between pre-renal injury and postrenal injuries. Monitoring lab values is a key component in taking care of renal patients. Based on this patient’s labs, which laboratory value should be addressed first, why, and how should it be treated? Describe a treatment plan for patients with acute kidney injury.

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