Vital Signs: Temperature: 37.1 C Pulse: 93 bpm Blood Pressure: 159/102 Respirato
ID: 121944 • Letter: V
Question
Vital Signs: Temperature: 37.1 C Pulse: 93 bpm Blood Pressure: 159/102 Respiratory Rate/Rhythm/Depth: 32/rapid/shallow O2Sat: 90 Pain: Rated 8/10 in his legs You notice a foul breath odour when he speaks, but he tells you that all he has eaten today is a stick of gum. He has peripheral edema in his feet and ankles. While you are checking for edema, you notice that he is scratching his skin continuously. You ask him if he is itchy and he tells you that he has been itchy for several weeks. You suspect that his CKD has advanced, which may be accounting for his symptoms. You notify the physician, who enters the room and does a preliminary assessment. Based on his findings, he says to Mr. Darnel Nzeogwu-Uba, "I will be ordering several tests but from the looks of it, I think your Chronic Kidney Disease has advanced to end-stage renal failure. Please take this order for blood tests and make an appointment with the secretary to return in a week". The doctor then leaves. Mr. Darnel Nzeogwu-Uba turns to you and begins firing off questions? Mr. Darnel Nzeogwu-Uba Asks? Why is this happening to me? I don't understand why my disease got worse?Explanation / Answer
According to the given question the diabetes,CKD and hypertension are the primary risk factors its leads towards to developing Chronic Kidney Disease. The first three stages of CKD management play a key role in this. According to the given data the patient did not manage his high blood pressure so it finally leads to hypertension. It is mainly due to his life style. So changing lifestyle can significantly positively affect the CKD. The conclusion of the question is improper management of this disease causes this disease.
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