A 10 year old, 75 lb male is presented at the ER due funny colored urine and gen
ID: 97865 • Letter: A
Question
A 10 year old, 75 lb male is presented at the ER due funny colored urine and general achiness. During the history, he said the urine had been cloudy and he rarely has an urge to mitriculate. He had a sore throat about 2 weeks ago, but recovered normally. He has periorbital edema and pitting edema of the ankles. Evaluate the following by using arrows to indicate any values that are abnormal. ie. High Low or N (See the appendix in the book or the internet for normal values.)
PE 101.2 F, HR 70 R 16 BP 130/95 BUN 55 mg/dl Creatinine 3.0 mg/dl. K+ 5.8 mEq pH 7.32
Hct 35% WBC 11,500 UA = Urine Analysis: Sp Grav. 1.015 RBCs 4+ Protein 4+ Protein casts
Why would body weight and blood pressure be monitored?_________________________________
List treatments for acute renal failure, including dietary changes for this case:_________________
________________________________________________________________________________
Explanation / Answer
Body weight has to be monitored to evaluate the patient as under/overweight/ malnutrition etc. Measuring Blood pressure is important to evaluate blood/circulatory/renal anomalies/blood volume evaluation.
4+ protein equals to or more than 1000 mg/dL indicating proteinuria.
Decrease the amount of protein intake- meat, eggs, sprouts, milk, cream etc.
increase green veggies.
decrease sodium intake.
decrease fat and cholestrol intake.
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