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Question Answered step-by-step Acute Renal Failure Case Study In this activity, you will review… Acute Renal Failure Case StudyIn this activity, you will review the case scenario, answer related questions, and formulate a care plan for the priority nursing diagnosis for your client.A 72 year-old man was admitted to the hospital for pneumonia two days ago.  He has a history of Type II diabetes that requires insulin therapy.  Diabetic neuropathy has led to several complications including cardiovascular disease.  He had a cardiac stent placed 3 years ago. On admission, he had a productive cough with vesicular and bronchovesicular sounds auscultated in all lobes on inspiration and expiration with wheezes. On admit VS were: BP: 125/80; HR: 98; RR: 22; O2 sats 90% on Room air.Admission orders included:9/24/2016 Admit to Medical Surgical Floor DX: Pneumonia0600VS q 4 hr; I&O qshiftO2 per NC up to 3L prn to keep sats > 92%Diet: 1800 ADA Diet IVF: NS @ 100ml/hr continuousMedications:Vancomycin 1gm  IVPB  over 30minutes q12hLovenox 30mg SQ q 12 hr    Protonix 40mg IVP q12hrTylenol Elixir 650 mg PO q6h prn headache/feverSolu-medrol 40mg IV dailyContinue home medicationsNovolog Insulin SQ per Mild sliding scale protocolLabs: CMP, CBC, tomorrow am and dailyCxr tomorrow am and daily         J.  Marsall, MD Date: 9/24/2016 0600Today is 9/26/2016Currently, he has a non-productive cough with course crackles auscultated in all lobes.  Chest x-ray this morning revealed marked pulmonary infiltrates with pulmonary edema. While performing your AM assessment the patient states that he feels palpitations and his heart rate is irregular.  He also has 2+ edema to the lower extremities bilaterally.4. The random vancomycin level is 98 ug/mL. Explain the meaning of this result. What new orders to you expect based on this value? (8 points) 5.What are the general rationales monitoring for random, peak, and trough labs for medications? There are two main reasons. (8 points) 6.The patient’s BUN is 65 and Serum Creatinine is 4.5.  The patient is diagnosed with Acute Renal Failure.  Discuss the type/cause of ARF that is most likely in this situation. (10 points) Health Science Science Nursing NURS 4628 Share QuestionEmailCopy link Comments (0)

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