What is the patient's creatinine clearance given the following data? Serum creatinine 0.6 mg/dL Urine creatinine 102 mg/dL 24 hr urine volume 1650 mL Patient's BSA 1.93 m2 1) 195 mL/min 2) 130 mg/dL 3) 93 mL/min 4) 175 mL/min
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1) 195 mL/min
2) 130 mg/dL
3) 93 mL/min
4) 175 mL/min
no references, just homework
Step by step
Solved in 3 steps
- In reviewing the patient’s current information, a concern exists that acute kidney injury has developed. Select to highlight the laboratory information that would support this concern.UrinalysisCasts - +++Cola-color to urineProteinuriaBlood ValuesRBC - 3.9 cells/L (4.0-4.9 cells/L)Hgb 10 g/dL (12-16 g/dL)Hct-40% (37%-48%)WBC 11.0 cells/L (4.0-10.0 cells/L)Platelets - 140 cells/L (150-450 cells/L)Sodium - 140 mEq/L (135-145 mEq/L)Potassium - 4.5 mEq/L (3.5-5.2 mEq/L)BUN - 32 mg/dL (5-20 mg/dL)Creatinine 1.8 mg/dL (0.5-1.5 mg/dL)Blood Glucose - 180 mg/dL (nonfasting) (<200 mg/dL)AST-40 Units/mL (5-40 Units/mL)ALT - 30 Units/mL (5-35 Units/mL)Bilirubin (total)- 0.8 mg/dL (<1.0 mg/dL)Albumin - 4.0 (3.5-5.5 g/dL)PT-22 (11.5-14 seconds)Hematology Data: 24 hour urine volume: 1,000 mL; Serum Creatinine: 2.0 mg/dL; Urine Creatinine: 200 mg/dL What's the calculation for the Creatinine clearance? Please show steps, thank you!A 68-year old woman presents with hypertension and oliguria. A CT of the abdomen reveals a hypoplastic left kidney. based on the following laboratory data which of the following is her estimated RPF? Renal artery p-amino hippuric acid (PAH) = 6mg/dL Renal vein PAH = 0.6mg/dL urinary PAH = 25mg/mL urine flow= 1.5mL/min hematocrit = 40%
- The laboratory received a 24-hour urine collection from a 26-year old male (body surface area = 2.34m2), and the total urine collection volume measured 800 mL in 24 hours. After creatinine determinations were performed by the alkaline picrate method, interpret the result. Plasma creatinine: 1.2 mg/dL Urine creatinine: 150 mg/dL a. The creatinine clearance of the patient is above reference range. b. The creatinine clearance of the patient is below reference range. c. The creatinine clearance of the patient is within reference range. d. The creatinine clearance of the patient is borderline high.Give the clinical significance of detecting the following_parameters in urine Parameter Clinical significance pH Protein Glucose Ketones Blood Bilirubin Urobilinogen Nitrite Leukocyte esterase Specific GravityWhat are the following for each patient? Edward urine composition: _______ blood compostion: _______ Ariana urine composition: ________ blood composition: _______
- The prescriber ordered Aranesp (darbepoetin alfa) 0.75 mcg/kg subcut once every 2 weeks. The client has chronic kidney disease, weighs 110 pounds, and is receiving dialysis treatments. The label reads 40 mcg/mL. How many milliliters would you administer? Round your final answer to the nearest hundredth of a mL.A 21 year-old man with nausea, vomiting, and jaundice has the following laboratory findings: Total serum bilirubin 8.5 mg/dL (normal 0-1.0 mg/dL) Direct serum bilirubin 6.1 mg/dL (normal 0-0.5 mg/dL) Urine urobilinogen Increased Urine bilirubin Positive AST 200 U/L (normal 0-50 m/L) ALP 160 U/L (normal 0-150 m/L) What disease state are these findings consistent with? 1) Hemolytic anemia 2) Early hepatitis 3) Chronic liver disease 4) Obstructive jaundice no references, just homeworkBased on the following information, what is the fraction of the drug that is excreted unchanged in the urine? CLR = 11.2 L/hr Dose = 1000 mg AUC, = 27.9 mg/L x hr %3D
- Vasopressin 0.1 unit/mL Vasopressin Sodium Chloride 0.9% CONTINUOUS INFUSION Tech: Made: NDC 0517-1020-01 R Vasopressin Injection, USP 20 Units per mL For Intravenous Inf Must be diluted prior to 1 mL Single Dose Discard Unused Pon RPh: Expires: 250 mL 25 units 250 mL RATE: 18 mL/hr 1. What volume of vasopressin will you add? 2. How many UNITS per MINUTE of vasopressin will the patient receive? 3. If the patient weighs 67 kg, how many units/kg/hr is she receiving? 4. After running for 2 hours at the current rate, the infusion is increased to 0.04 units/minute. If the drip was started at 0900, when will the nurse need a new bag?Is a tube containing Sodium or lithium heparin additive, acceptable for Erythrocyte sedimentation rate? Why or Why not?Table 3. Serum creatinine values at admission and after 12h Admission +12h SCR(mg/dL) 1.55 1.42 Using the “MDRD” (Modification of Diet in Renal Disease) equation for estimating glomerularfiltration, provided below, and the data available in the above table, calculate the patient's (a 34 year old white male) estimated glomerularfiltration rate (eGFR) at admission and 12h after admission.MDRD GFR Equation (mL/min/1.73 m2)= 175 × (Scr)-1.154 × (Age)-0.203 × (0.742 if female) × (1.212 if African American)Based on your calculated values, state whether LF’s function is normal or abnormal?Previous research suggests that patients with asthma have an increased risk for chronic kidneydisease, but the mechanisms underlying this increased risk are poorly understood. Propose one potential mechanism by which asthma might impair kidney function, and discuss how this dysfunction may impair thebody’s ability to respond to respiratory alkalosis