Ask Question, Ask an Expert


Ask Biology Expert

The patient is seen and examined during hemodialysis. The patient appears to be hemodynamically stable, not in any form of respiratory distress or compromise.

LABORATORY STUDIES: Latest labs were performed 4 weeks ago. Hemogram shows an H&H (hematocrit and hemoglobin) of 8.6/26.2. WBC (white blood count) is 9.9, normochromic/normocytic indices. Platelets are 143. There is left shift of 81.1% neutrophils. Sodium is 139, potassium 4, chloride 98, CO2 (carbon dioxide) is 30.7, BUN (blood urea nitrogen) and creatinine 31/3.4, glucose 121, and calcium 8.2.
Today, we will dialyze her for a total of 4 hours using an HP-150 dialyzer via her right-sided Perm-A-Cath. We will use a 2.0 potassium bath, and we will not give her any heparin loading dose during this treatment.
PHYSICAL EXAM: At present time, vital signs are stable. Blood pressure is 128/57. Heart rate is 80, and she is tolerating a blood flow rate of 500 ml (milliliter) per minute. Normocephalic and atraumatic. Pale palpebral conjunctivae, anicteric sclerae. No nasal or aural discharge. Moist tongue and buccal mucosa. No pharyngeal hyperemia, congestion, or exudates. Supple neck. No lymphadenopathy. Symmetrical chest. No retractions. Positive rhonchi. No crackles or wheezes. S1 (first heart sound) and S2 (second heart sound) distinct. No S3 (third heart sound) or S4 (fourth heart sound). Regular rate and rhythm. Abdomen: Positive bowel sounds, soft and nontender. No abdominal bruits. Both upper and lower extremities reveal arthritic changes. Pulses are fair.


1. End-stage renal disease (on maintenance hemodialysis, Monday, Wednesday, and Friday), most likely secondary to the following:

A. Hypertension. Continue same antihypertensive regimen as ordered.

B. Type 2 diabetes mellitus. Continue oral antidiabetic agents. Continue the same dialysis orders as above.

C. Previous chronic use of NSAID (nonsteroidal antiinflammatory drug)/COX-2 inhibitors.

2. Anemia due to chronic renal disease.

3. problemable diverticulosis; status post multiple herniorrhaphies; status post- cholecystectomy.

4. Discharge planning: The plan is to discharge the patient to rehabilitation medicine.

At this time, the patient appears to be stable and is tolerating hemodialysis. We will continue to follow this patient from the renal/hemodialysis standpoint. She will get erythropoietin 10,000 units IV (intravenous) after hemodialysis today.

Biology, Academics

  • Category:- Biology
  • Reference No.:- M944683

Have any Question? 

Related Questions in Biology

What makes a dna fingerprint uniquei need to experiment and

What makes a DNA Fingerprint Unique? I need to experiment and create a lab report. Writing Lab Reports What lab reports and scientific papers do: - Persuade others to accept or reject hypotheses by presenting data and in ...

Write the null and research hypotheses for the following

Write the null and research hypotheses for the following description of a research study: A group of middle-aged men was asked to complete a questionnaire on their attitudes toward work and family. Each of these men is m ...

Biology class - must be 250 words must cite worktest your

Biology class - must be 250 words must cite work. Test your knowledge of cells and cell processes by dragging the name to the appropriate organelle in the three interactive websites Prokaryotes Basic Structure, The Plant ...

Part i textbook questionschapter 38 describe brieflyathe

Part I. Textbook Questions Chapter 3: 8. Describe briefly: a. The genotype of a person who has sickle-cell anemia. b. The genotype of a person with a normal phenotype who has a child with sickle-cell anemia. c. The total ...

Genetics and inheritancereview information on genetic

Genetics and Inheritance Review information on genetic disorders on the National Human Genome Research Institute Site: Choose a genetic disorder that can be inherited from a parent. Write a 525- to ...

1 which karyotypes shows a normal male individual ie a male

1. Which karyotype(s) shows a "normal" male individual (i.e., a male individual with no trisomies or monosomies)? A. A and B B. B only C. C only D. D only E. A, B, C & D 2. Which karyotype(s) shows an individual with Tur ...

Researchers are working to develop biofuels to free us from

Researchers are working to develop biofuels to free us from dependence on fossil fuels. Based on what you know about cellulose, what do you predict are the major advantage and disadvantage of using cellulose-rich plant m ...

Experiment 4 exercise 1 mitosis in a plant cellread through

Experiment 4 Exercise 1: Mitosis in a Plant Cell Read through the Experiment 4 Introduction material before starting. In this exercise we will look at the different stages of mitosis in onion cells. The length of the cel ...

Biology assignmentdiscuss any factor that enhances physical

Biology Assignment Discuss any factor that enhances physical development in chidren under age 8 a page. no need for formatting.

Depletion of nadph and glutathione in cells is considered

Depletion of NADPH and glutathione in cells is considered harmful. Explain why, and give an example of a chemical that may deplete NADPH and glutathione through interaction with the FMO enzyme. The FMO3 enzyme has an imp ...

  • 4,153,160 Questions Asked
  • 13,132 Experts
  • 2,558,936 Questions Answered

Ask Experts for help!!

Looking for Assignment Help?

Start excelling in your Courses, Get help with Assignment

Write us your full requirement for evaluation and you will receive response within 20 minutes turnaround time.

Ask Now Help with Problems, Get a Best Answer

A cola-dispensing machine is set to dispense 9 ounces of

A cola-dispensing machine is set to dispense 9 ounces of cola per cup, with a standard deviation of 1.0 ounce. The manuf

What is marketingbullwhat is marketing think back to your

What is Marketing? • "What is marketing"? Think back to your impressions before you started this class versus how you

Question -your client david smith runs a small it

QUESTION - Your client, David Smith runs a small IT consulting business specialising in computer software and techno

Inspection of a random sample of 22 aircraft showed that 15

Inspection of a random sample of 22 aircraft showed that 15 needed repairs to fix a wiring problem that might compromise

Effective hrmquestionhow can an effective hrm system help

Effective HRM Question How can an effective HRM system help facilitate the achievement of an organization's strate