If a person needs to undergo dialysis, can he still do normal activities such as working and traveling? What are the restrictions (diet, lifestlye etc) of those undergoing dialysis
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If a person needs to undergo dialysis, can he still do normal activities such as working and traveling? What are the restrictions (diet, lifestlye etc) of those undergoing dialysis?
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- What do you mean by dialysis?Tracey has to undergo an examination because of blood in her urine. She was telephoned to ask her to come for an appointment at the OPD the following day. She went to the OPD & after 10 min., a nurse calls her name & asks her to follow. She stops outside a cubicle & asks Tracey to get changed into a gown for her procedure. There should be nothing under the gown & there are some disposable slippers for her to walk over the treatment room. She does as the nurse asks and is then ushered into a clinical room where a man introduces himself as James. “Hi, I’m James. Your doctor sent us a letter about your hematuria (blood in the urine) & said you were concerned”. He does not wait for Tracey to answer & his eyes are fixed on her medical notes where he is perusing the letter. “We are going to pop a little cystoscope into your bladder & take biopsies. Now pop on the couch, & sign your consent form and we will get on with it”. Tracey does as she is asked, signs…Dialysis is a two-way process. True False
- Should kidney dialysis centers be held to the same safety standards as other healthcare facilities?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?Dr. J, an attending physician, tells you that Patient X is not progressing. As a pharmacist, you know that increasing the dose of his medication, Omeprazole 20 mg to 40 mg, is needed to match the patient’s weight. As a pharmacist create script on How will you approach the physician about this?
- Akhmad Sikoyev is a 12-year-old boy who has endstage renal disease (ESRD). He has been on dialysis for some time. He is a good candidate for kidney transplantation. His parents are anxious and want the transplantation performed now. He is their only child. 1. What are the risks? 2. Does the fact that Akhmad is an only child affecthis ability to have a transplantation? Explain. 3. How long will Akhmad have to wait for a kidney transplantation? 4. Medicare covers kidney dialysis, but not transplantation. How might surgery be financed?A nurse is assessing a patient and is concerned that the patient may be experiencing urinary retention. Which clinical indicators support this conclusion? choose all thatapply. -Blood-tinged urine-Amber colored urine-Reports of abdominal pressure-Lower abdominal distention on palpation-Voiding small amounts of urine at a timeTim manages a medical clinic with 135 physicians serving a county with a population of 250,000. The clinicians specialize in everything from primary care to urology. The clinic is home to a laboratory, X-ray facility, and outpatient surgery. Patients call to make appoint- ments, and in most cases, they have to wait several days or longer to get in. Once they make it to their appointment, some patients have to wait to get into a room. In making rounds one day, Tim found one patient who had been waiting for 45 minutes and had not even had contact with a receptionist. No one noticed she had been sitting there all that time. The clinic uses several criteria to the patients into appointment times. Some physicians, for example , see a patient and then require an X-ray during the appointment. Other visits are more straightforward and require little time. Most physicians want to see four patients per hour. They definitely do not want any empty appointment slots . Some patients to be seen for…
- Tim manages a medical clinic with 135 physicians serving a county with a population of 250,000. The clinicians specialize in everything from primary care to urology. The clinic is home to a laboratory, X-ray facility, and outpatient surgery. Patients call to make appoint- ments, and in most cases, they have to wait several days or longer to get in. Once they make it to their appointment, some patients have to wait to get into a room. In making rounds one day, Tim found one patient who had been waiting for 45 minutes and had not even had contact with a receptionist. No one noticed she had been sitting there all that time. The clinic uses several criteria to the patients into appointment times. Some physicians, for example , see a patient and then require an X-ray during the appointment. Other visits are more straightforward and require little time. Most physicians want to see four patients per hour. They definitely do not want any empty appointment slots . Some patients to be seen for…Tim manages a medical clinic with 135 physicians serving a county with a population of 250,000. The clinicians specialize in everything from primary care to urology. The clinic is home to a laboratory, X-ray facility, and outpatient surgery. Patients call to make appoint- ments, and in most cases, they have to wait several days or longer to get in. Once they make it to their appointment, some patients have to wait to get into a room. In making rounds one day, Tim found one patient who had been waiting for 45 minutes and had not even had contact with a receptionist. No one noticed she had been sitting there all that time. The clinic uses several criteria to the patients into appointment times. Some physicians, for example , see a patient and then require an X-ray during the appointment. Other visits are more straightforward and require little time. Most physicians want to see four patients per hour. They definitely do not want any empty appointment slots . Some patients to be seen for…One of the following is not true regarding nutrition therapy for dialytic patients a. phosphate binders may increase the risk for hypercalcemia O b. at least half of the consumed protein should be of high- quality dietary sources O c. protein requirement ranges between 1.2-1.5 g/kg body weight o d. water needs is restricted to 500 ml/day to prevent edema
