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Gould's Pathophysiology for the Health Professions, 6e
6th Edition
ISBN: 9780323414425
Author: Robert J Hubert BS
Publisher: Saunders
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Chapter 4, Problem 3CSB
Summary Introduction
To explain: The reason why Person J. experiences pain in her jaw and lower back, as her injury was at her neck.
Introduction: Chronic pain leads to the long-term pain that leads to difficult and mostly negative effects like lack of social and personal interference. Pain is an unpleasant sensation. It is the feeling of discomfort, which results from the stimulation of pain receptors in the body during the process of tissue damage. Pain refers to the body’s defense mechanism and the warning of a problem.
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DaVita Dietitian Reference Manual
Module 12--Peritoneal Dialysis
CASE STUDIES
Case 1
A 38 year old female patient with polycystic kidney disease is here for a clinic visit. She
presents with the following labs: albumin 3.5, Hgb 12.1, Corrected Ca 10.8 (3rd time
10.2), Phosphorus 6.9, K 5.4. Her weight is 185 lbs and she is 6'1" tall. She reports a
good appetite and weight has been stable. Two months ago, intact PTH was 1972.
She has been counseled numerous times on the importance of controlling calcium and
phosphorus, however, she loves milk and cheese. She is on Rocaltrol 0.25 mcg/day.
She takes Renvela 800 mg as her phosphate binder, using 3 with meals and 2 with
snacks, and she is adherent. Her nephrologist has just prescribed Sensipar 30 mg q
dinner. What is your care plan for this patient and what nutritional counseling and
patient education would you provide?
Case 2
A 65 year old man, S/P heart transplant, Hepatitis C and six-month history on
hemodialysis is beginning PD. He is…
DaVita Dietitian Reference Manual
Module 12-Peritoneal Dialysis
DISCUSSION QUESTIONS
1. Identify 3 advantages and 3 disadvantages of peritoneal dialysis compared to
hemodialysis.
2. How do the nutritional needs of PD patients differ from those of HD patients?
3. What are the goals for Kt/V for PD?
DaVita Dietitian Reference Manual
Module 12--Peritoneal Dialysis
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REVIEW QUESTIONS
True False
With PD, there is a greater responsibility for patients to monitor
their own dialysis than with hemodialysis.
The higher the dextrose concentration in the PD solution, the
more fluid removed and the more calories absorbed.
PET testing is used to measure peritoneal dialysis adequacy.
PD is contraindicated in diabetics due to the high glucose load
of PD solutions.
Malnutrition is prevalent among PD patients due to protein
losses through the peritoneal membrane. This protein
malnutrition contributes to increased morbidity and mortality.
Sodium and phosphorus are restricted in the diet for PD
patients, however potassium intake is usually more liberal than
for HD patients.
Protein losses are greater during peritonitis.
The calories absorbed from dialysate are negligible.
Insulin can be given intraperitoneally, if necessary.
PD patients are at risk for high triglycerides…
Chapter 4 Solutions
Gould's Pathophysiology for the Health Professions, 6e
Ch. 4 - Prob. 1LOCh. 4 - Prob. 2LOCh. 4 - Prob. 3LOCh. 4 - Prob. 4LOCh. 4 - Prob. 5LOCh. 4 - Prob. 6LOCh. 4 - Prob. 7LOCh. 4 - Prob. 8LOCh. 4 - Prob. 9LOCh. 4 - Prob. 4.1TA
Ch. 4 - Prob. 4.1AYKCh. 4 - Prob. 4.2BTACh. 4 - Prob. 4.2CTACh. 4 - Prob. 4.3TACh. 4 - Prob. 4.4BTACh. 4 - Prob. 4.4CTACh. 4 - Prob. 4.5TACh. 4 - Prob. 4.6TACh. 4 - Prob. 1CSACh. 4 - Prob. 2CSACh. 4 - Prob. 3CSACh. 4 - Prob. 4CSACh. 4 - Prob. 1CSBCh. 4 - Prob. 2CSBCh. 4 - Prob. 3CSBCh. 4 - Prob. 4CSBCh. 4 - Prob. 5CSBCh. 4 - Prob. 6CSBCh. 4 - Prob. 7CSBCh. 4 - Prob. 8CSBCh. 4 - Prob. 1SQCh. 4 - Prob. 2SQCh. 4 - Prob. 3SQCh. 4 - Prob. 4SQCh. 4 - Prob. 5SQ
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