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What is the most probable cause of the patient’s elevated urea nitrogen?

Curren'S Math For Meds: Dosages & Sol

11th Edition

ISBN:9781305143531

Author:CURREN

Publisher:CURREN

Chapter9: Parenteral Medication Labels And Dosage Calculation

Section: Chapter Questions

Problem 4.8P

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An 80-year-old woman was admitted with a diagnosis of hypertension, congestive heart failure, anemia,
possible diabetes, and chronic renal failure. Her blood workup shows a BUN level of 58 mg/dL and a plasma creatinine of 6.2 mg/dL. What is the most probable cause of the patient’s elevated urea nitrogen?

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An old woman was admitted with a diagnosis of hypertension, congestive heart failure, anemia, possible diabetes, and chronic renal failure. Her blood workup shows a BUN level of 58 mg/dL and a plasma creatinine of 6.2 mg/dL. What is the most probable cause of the patient’s elevated urea nitrogen? Explain your answer.
A steady increase in the excretion of sodium and chlorine ions causes the insufficiency of one hormone. What is the name of this hormone? Describe manifestations which appear at insufficiency or redundancy of these ions. Explain. 2. The patient was diagnosed with hypernatremia, hypokalemia, increased osmotic blood pressure, edema. a) What pathology occurs in the patient? b) Violation of the secretion of which hormone is observed in this pathology? Name its chemical nature c) Specify the mechanism of action of the hormone
Name the condition in which there is presence of sugar in urine.
Discuss the diagnostic significance of an elevated/decreased Blood Urea Nitrogen (BUN) level
How can we analyze the chart? Patient B: A 28 y/o male, overweight. Chief complaints: thirst, frequent urination and lethargy. Urine volume 3.8 l (~1 gal)/24hours. 1) What are the abnormal findings? 2)Why is the patient’s urine volume so high? 3) why is the patient thirsty? 4) what is your diagnosis? What other tests might you perform to confirm the diagnosis?
Is diabetes insipidus and polyuria the same? Explain: Please cite/reference the book in which you found the solution.
Discuss the possible clinical implications of a positive glucose urinalysis.
Name two metabolic disorders which can be diagnosed by the analysis of urine.
In reviewing the patient’s current information, a concern exists that acute kidney injury has developed. Select to highlight the laboratory information that would support this concern.UrinalysisCasts - +++Cola-color to urineProteinuriaBlood ValuesRBC - 3.9 cells/L (4.0-4.9 cells/L)Hgb 10 g/dL (12-16 g/dL)Hct-40% (37%-48%)WBC 11.0 cells/L (4.0-10.0 cells/L)Platelets - 140 cells/L (150-450 cells/L)Sodium - 140 mEq/L (135-145 mEq/L)Potassium - 4.5 mEq/L (3.5-5.2 mEq/L)BUN - 32 mg/dL (5-20 mg/dL)Creatinine 1.8 mg/dL (0.5-1.5 mg/dL)Blood Glucose - 180 mg/dL (nonfasting) (<200 mg/dL)AST-40 Units/mL (5-40 Units/mL)ALT - 30 Units/mL (5-35 Units/mL)Bilirubin (total)- 0.8 mg/dL (<1.0 mg/dL)Albumin - 4.0 (3.5-5.5 g/dL)PT-22 (11.5-14 seconds)
Joey complained to his physician that he was constantly thirsty, hungry, and had to urinate frequently. His physician ordered a blood and urine test. The results of his urinalysis showed the following abnormal values: pH: 3.5 glucose: 250 mg/100 mL ketones: 10 gm/100 mL albumin: 30 mg/100 mL specific gravity: 1.045 Given Joey’s symptoms and urinalysis results, what do you predict is his diagnosis? Explain and provide reasoning
A 44-year-old man diagnosed with acute tubular necrosis has a blood urea nitrogen of 60 mg/dL and a blood glucose level of 100 mg/dL. A 2+ urine glucose is also reported. Questions:1. State the renal threshold for glucose.2. What is the significance of the positive urineglucose and normal blood glucose?
A 2-year-old child, admitted to hospital following diarrhoea and vomiting, had the fol- lowing results on analysis of plasma, 24 hours after admission (reference ranges are given in brackets): Sodium (135-145) Potassium (3.5-5.0) Urea (3.5-6.6) Creatinine (70-150) Osmolality (285-305) The urine sodium concentration was 55 mmol/L and its osmolality was 314 mOsm/kg. Comment on these results. 151 mmol/L 3.7 mmol/L 4.9 mmol/L 65 μmol/L 314 mOsm/kg