maining Time:54 minutes, 04 seconds. uestion Completion Status Mr. Chevez is a 7
ID: 242678 • Letter: M
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maining Time:54 minutes, 04 seconds. uestion Completion Status Mr. Chevez is a 77-year-old Caucasian male who has a long history of diabetes and hypertension. His primary care provider monitored him for the past year as Mr. Chevez's kidney function and overall health gradually decreased His wife has cared for him in their home until last month when he fell and she was unable to lift him. During a discussion with her daughter, Mrs. Chevez agreed that her husband required more care than she was able to provide. He was then admitted to an extended care facility The physician who has been seeing Mr. Chevez in the facility notes that his glomerular filtration rate is 10 mU/min/1.73 m2 Mr. Chevez is noted to have an accumulation of fluid in the abdomen, loss of muscle strength, and hypoxemia Would Mr. Chevez qualify for a kidney transplant? Why or why not? (2 Points) For the toolbar, press ALT+F 1 0 (C) or ALT-FN. F10 (Mac) Click Save and Submit to save and submir Cliek Save All Answers to sane all answer Save Al Close Windos 8 6 8 0Explanation / Answer
In order to be placed in the renal transplant waiting list, the future recipient must be relatively healthy and should not have cancer or infection. The person must be able to comply with treatment and medication regimen. Any person, adult or child, diagnosed with stage 5 chronic kidney disease (CKD) or end-stage renal disease (ESRD) can be evaluated transplant.
MR. Chavez has a history of diabetes, hypertension, GFR of 10ml/min/1.73m2, Hypoxemia, fluid retention in peritoneum and muscle weakness. The presence of chronic diseases predisposes the CKD.
The best option for him is dialysis based on the physiological and social status and age. The problems can be managed by dialysis based on his life expectancy and prognosis.
The physician must consider many diagnostic evaluations before coming to the conclusion of kidney transplantation. Patient has the good support system (family), which make him eligible for transplant.
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