Urinary system lab assignment and related case study Leo, 37-years old was absolutely shocked when he found out that he has a hypertension. He was once an athlete and a quarterback in his high school and college teams; very well-known and loved one until he broke his femur bone in a car accident and then everything just changed. He became careless about himself and his health. He left himself go, eating too much junk food, drinking too much alcohol and smoking cigarettes. Leos physician had to prescribe two different antihypertensive medications in order to get his blood pressure under control. He told him to exercise regularly, go on a low-salt diet and try to stop or at least moderate alcohol and stop smoking. Leo was scared because he had a history of hypertension in the family where his dad ended up being on a dialysis before dying from complications of kidney failure. Leo took his doctors advice seriously and began a dramatic lifestyle change to get back to what he used to be. His fracture healed well and now at the age of 52, he is a triathlon athlete and among the top in the city and even the country in the same age group. His ambitions started growing and felt the young athlete back again. He was determined on achieving something, so he ended up hiring Lucy; a clinical exercise specialist to help him gain the edge he needed to win the race even nationally. His most immediate concern was that he was experiencing problems with dehydration and fatigue because he hadnt found an effective way to drink enough fluids while exercising. Lucy prepared a program and used some tools to quantify and assess his physiological state before, during and after his workout. She used some indices including urinalysis, which Leo found surprising and a bit odd. He collected urine regularly based on her recommendation. Lucy explained to him the reasoning behind the urinalysis is because of the medications he took to control his hypertension and, to that renal status is one of the tools she could use to evaluate his physiological state. Leos results were like the followings Time Color Specific Gravity Protein Glucose pH Before exercise pale yellow 1.003 absent absent 6.2 Immediately after exercise dark yellow 1.029 small amount absent 4.4 Six hours after exercise yellow 1.022 absent small amount 5.1
Trending nowThis is a popular solution!
Step by stepSolved in 2 steps
- Kelly is a 36-year-old female who has a history of type 2 diabetes, several respiratory infections as a child, and two full-term pregnancies (5 and 7 years ago). Two days ago, she began feeling a burning sensation when urinating. Her pain is progressively getting worse. Kelly assumes that she has a urinary tract infection (UTI) and makes an appointment at her primary clinic to seek relief. Briefly List and describe 3 steps Kelly can take to prevent UTIs in the future.arrow_forwardGive typed explanation of all three otherwise leave it Answer the following questions: 1) The client for whom you are caring had the following for breakfast: 4 fluid ounces of milk, 6 fluid ounces of coffee, scrambled eggs, and one piece of toast. The client voided 4 fluid ounces of urine this morning. What is the person's fluid intake in millilitres? What is the person's fluid output in millilitres? 2) You are assisting with a 24-hour urine collection on a client assigned to your care. The client is in the dining room and chooses not to return to his room to collect the specimen; instead he voids in the nearest bathroom. Is it okay to just collect one extra sample and continue the collection? 3.You are caring for a client with Clostridium difficile.What precautions should you follow?arrow_forwardWhich of the following groups of drugs are commonly added to peritoneal dialysis solutions? Cardiac drugs Antimicrobial drugs Blood pressure drugs Analgesic drugsarrow_forward
- Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was diagnosed with type 2 Diabetes mellitus His cardiovascular risk was > 15% http://www.cvdcheck.org.au/ His renal health screen showed an eGFR 90 mL/min/1.73m2 with microalbuminuria of 3.5 mg/mmol. http://www.kidney.org.au/HealthProfessionals/DetectingCKD/tabid/632/Default.aspx He attended a podiatry appointment which detected decreased dorsalis pedis and posterior tibialis pulses in both legs. Management of his condition now includes the following: Exercise: at least 150 minutes of aerobic and 60 minutes of resistance exercise each week Diet: a plan worked out with an accredited dietician based on the Australian Dietary Guidelines (2013). Drug use: smoking cessation plan to stop cigarette use; alcohol consumption reduction to 1 - 2 full strength beers every second day Weight loss: Mehmet aims to lose 5 kg over the first 6 - 8 weeks after diagnosis Medications: Jardiamet…arrow_forwardKeegan 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?arrow_forwardMehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was diagnosed with type 2 Diabetes mellitus His cardiovascular risk was > 15% http://www.cvdcheck.org.au/ His renal health screen showed an eGFR 90 mL/min/1.73m2 with microalbuminuria of 3.5 mg/mmol. http://www.kidney.org.au/HealthProfessionals/DetectingCKD/tabid/632/Default.aspx He attended a podiatry appointment which detected decreased dorsalis pedis and posterior tibialis pulses in both legs. Management of his condition now includes the following: Exercise: at least 150 minutes of aerobic and 60 minutes of resistance exercise each week Diet: a plan worked out with an accredited dietician based on the Australian Dietary Guidelines (2013). Drug use: smoking cessation plan to stop cigarette use; alcohol consumption reduction to 1 - 2 full strength beers every second day Weight loss: Mehmet aims to lose 5 kg over the first 6 - 8 weeks after diagnosis Medications: Jardiamet…arrow_forward
- Urinary system lab assignment and related case study Leo, 37-years old was absolutely shocked when he found out that he has a hypertension. He was once an athlete and a quarterback in his high school and college teams; very well-known and loved one until he broke his femur bone in a car accident and then everything just changed. He became careless about himself and his health. He left himself go, eating too much junk food, drinking too much alcohol and smoking cigarettes. Leos physician had to prescribe two different antihypertensive medications in order to get his blood pressure under control. He told him to exercise regularly, go on a low-salt diet and try to stop or at least moderate alcohol and stop smoking. Leo was scared because he had a history of hypertension in the family where his dad ended up being on a dialysis before dying from complications of kidney failure. Leo took his doctors advice seriously and began a dramatic lifestyle change to get back to what he used to be. His…arrow_forwardManagement of contrast induced acute renal failurearrow_forward32arrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning