Kidney Failure

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Associate Level Material
Appendix D

Read each scenario and write a 25- to 50-word answer for each question following the scenarios. Use at least one reference per scenario and format your sources consistent with APA guidelines.

Scenario A

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.

1. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom?

Well for instance her kidneys are in shock from surgery, they are un-able to clean the creatinine and urea from the blood which is the waste product produced by the body. Our kidneys also balance water, salt and minerals the body needs. So her little urine output is indicates that the waste products are building up and not being properly executed.

2. What other symptoms and signs might occur?

Some of the symptoms and signs that might occur are headaches, breath that smells like pee or ammonia, swelling, nausea and vomiting, some pain and possibly an up-set stomach. In most serious cases the symptoms can be muscle weakness and possible cardiac arrest due to high potassium in the blood.

3. What is causing Ms. Jones’s kidney disease?

She has some blocked hart vassals that were caused by surgery. So in return theirs not enough blood flowing and it’s causing her kidneys to get damaged.

4. What are possible treatment options, and what is the prognosis?

She is having kidney failure. It can be cured but it will take a few days and her once the treatment is done her kidneys will work well enough to make her life normal again and not have any long lasting effects. Dialysis may be one option the doctors may throw her way but Antibiotics are more common and can prevent infections.

Scenario B

Chronic renal failure: Mr. Hodges, a 73-year-old man, has had congestive heart failure...
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