Question Answered step-by-step CASE STUDY 1: 35-year-old man began to notice weakness with… CASE STUDY 1:35-year-old man began to notice weakness with activities such as walking distances or runningAlso began experiencing tingling all over his body, particularly in his hands and feetSymptoms progressed over 4 months, with 4.5 kg of weight lost with no decline in appetiteIncreased urinary output with normal frequencyStrong thirst at nightSought out medical help because he was afraid he was getting diabetesHistory reveals grandmother and aunt have diabetes with no family history of renal diseaseAt age 5, he was admitted to the hospital for hematuria.Urinary protein 4+BUN 11.07 mmol/LHb 7.2 mmol/LWas diagnosed with acute glomerulonephritisAt age 11, he was admitted to the same hospital with gross hematuria.Albuminuria 4+BUN 3.75 mmol/LHb 9.7 mmol/LDiagnosed with recurring acute glomerulonephritisHe had no follow-up medical care after that hospitalization until his current admission to the hospital. Current lab valuesPotassium 6.0 mmol/LBUN 39.27 mmol/LCreatinine 1060 mcmol/LHct 20%Hb 3.72 mmol/L Discussion QuestionsWhy would his symptoms seem similar to diabetes?Why is he developing chronic renal failure so many years after his primary diagnosis?What is the priority of care for him?What patient teaching should be done with him?   CASE STUDY 227-year-old woman with urgency to urinate, frequent urination, and urethral burning during urinationSymptoms began 48 hours agoUrine has strong odour and cloudy appearanceHistory of recurring urinary tract infection since age 22, when she got marriedAllergic to penicillinTemperature 37°C orallyBlood pressure 114/64Urinalysis resultsColour: dark yellowpH: 6.5Nitrates: positiveLeukocytes: large numberTrace occult bloodUrine culture: E. coli >106 CFU/mLSensitivity to ampicillin, nitrofurantoin, ciprofloxacin, cephalexin, TMP-SMX Discussion QuestionsWhat type of urinary tract infection does she probably have?Why might she be having recurring infections?What is the priority of care for her?What teaching should be done with her?   Health Science Science Nursing NURSING 3264 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step CASE STUDY 1: 35-year-old man began to notice weakness with… CASE STUDY 1:35-year-old man began to notice weakness with activities such as walking distances or runningAlso began experiencing tingling all over his body, particularly in his hands and feetSymptoms progressed over 4 months, with 4.5 kg of weight lost with no decline in appetiteIncreased urinary output with normal frequencyStrong thirst at nightSought out medical help because he was afraid he was getting diabetesHistory reveals grandmother and aunt have diabetes with no family history of renal diseaseAt age 5, he was admitted to the hospital for hematuria.Urinary protein 4+BUN 11.07 mmol/LHb 7.2 mmol/LWas diagnosed with acute glomerulonephritisAt age 11, he was admitted to the same hospital with gross hematuria.Albuminuria 4+BUN 3.75 mmol/LHb 9.7 mmol/LDiagnosed with recurring acute glomerulonephritisHe had no follow-up medical care after that hospitalization until his current admission to the hospital. Current lab valuesPotassium 6.0 mmol/LBUN 39.27 mmol/LCreatinine 1060 mcmol/LHct 20%Hb 3.72 mmol/L Discussion QuestionsWhy would his symptoms seem similar to diabetes?Why is he developing chronic renal failure so many years after his primary diagnosis?What is the priority of care for him?What patient teaching should be done with him?   CASE STUDY 227-year-old woman with urgency to urinate, frequent urination, and urethral burning during urinationSymptoms began 48 hours agoUrine has strong odour and cloudy appearanceHistory of recurring urinary tract infection since age 22, when she got marriedAllergic to penicillinTemperature 37°C orallyBlood pressure 114/64Urinalysis resultsColour: dark yellowpH: 6.5Nitrates: positiveLeukocytes: large numberTrace occult bloodUrine culture: E. coli >106 CFU/mLSensitivity to ampicillin, nitrofurantoin, ciprofloxacin, cephalexin, TMP-SMX Discussion QuestionsWhat type of urinary tract infection does she probably have?Why might she be having recurring infections?What is the priority of care for her?What teaching should be done with her?   Health Science Science Nursing NURSING 3264 Share QuestionEmailCopy link Comments (0)