Weight 191 lbs. GFR 12 ml/min Albumin 2.1 gm/dl Potassium and Phosphorus levels elevated Blood Pressure 182/103 QUESTIONS 1. Why is Keegan’s potassium and phosphorus levels high? How will the dialysis affect these values? What are phosphate binders and would their use be appropriate for this patient?
Keegan is a new admission to the hospital with chronic renal failure. Keegan was born with only one kidney, which had functioned completely normal until approximately 1 year ago. Last year he had elective plastic surgery and went into renal failure. Prior to this, Keegan worked full time as a banker and went to the gym about three times a week. Keegan is lactose intolerant. Keegan will be starting hemodialysis three times per week.
MEDICAL PROFILE
Age 42
Height 6 ft 1 in
Weight 191 lbs.
GFR 12 ml/min
Albumin 2.1 gm/dl
Potassium and Phosphorus levels elevated
Blood Pressure 182/103
QUESTIONS
1. Why is Keegan’s potassium and phosphorus levels high? How will the dialysis affect these values? What are phosphate binders and would their use be appropriate for this patient?
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