J.M. is a 37-year-old woman transferred to a large medical center

Question Answered step-by-step J.M. is a 37-year-old woman transferred to a large medical centerfrom a small rural hospital for further evaluation of lower abdominal pain, nausea, vomiting, and progressive deterioration of urinary output.Subjective Data:-Long history of ETOH Abuse with a drinking binge two days ago-Arthritis with heavy use of ibuprofen-HTN for three years, treated with hydrochlorothiazide and a calcium channel blocker-Borderline NIDDM for three years, does not want to take medications and has been tryingto lose weight and “watch her sugar intake.”Objective Data:B/P: 160/110                                                  K: 6.3 mEq/L                          Urinary output: <15ml/hr                             Na: 149 mEq/L                                           Lethargic                                 Hgb A1C: 9.2%Creatinine: 9.6 mg/dL                                    BUN: 121 mg/dLCRITICAL THINKING QUESTIONS…1.       Discuss each laboratory value and how it reflects the pathophysiology that occurs in renal failure. What is the significance of her Hgb A1C level?2.      What are the specific priorities of treatment for J.M.? Disadvantages. What type of dialysis will most likely be used for J.M?3.        After two weeks of intensive support and dialysis, J.M’s urinary output returns. Explain the diuretic phase of recovery in Acute Renal Failure and what complications can occur. 4.    Do you think she needs intervention for her diabetes? What guidelines did you consult? How would you start treating a patient with newly diagnosed Type 2 diabetes? Which medication(s) might you want to start first? What patient education issues would you emphasize in the initial period? Health Science Science Nursing NURS 6150 Share QuestionEmailCopy link Comments (0)