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Case Study For Chronic Kidney Disease In Clinical Practice Discussion

Case Study For Chronic Kidney Disease In Clinical Practice Discussion

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Question 1: Clinical finding raising the most significant concern

The health assessment finding that should be reported to the health care provider immediately is the presence of palpable and faint post-tibial and pedal pulses. Diminishing pulses in different arteries on examination indicates impaired blood flow. Poirier et al. (2018) reported that a diminished foot pulse in a person with a history of cardiovascular disease (CVD) indicates a high risk for cardiovascular events or death. Therefore, the provider should be informed immediately about the patient’s faint foot pulse for necessary measures to be taken to lower the risk of cardiovascular events or death. Case Study For Chronic Kidney Disease In Clinical Practice Discussion

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Question 2: Renal disease risk factors

Various factors predispose individuals to a high risk of developing chronic kidney disease (CKD). Studies show that high blood pressure and diabetes Mellitus are the most contributing risk factors for renal disease in adults (Dasgupta & Zoccali, 2022). Therefore, the patient has a high risk of CKD due to a history of type 2 diabetes Mellitus and hypertension. Additionally, a history of coronary artery disease and old age (73 years) predispose the patient to renal disease. Case Study For Chronic Kidney Disease In Clinical Practice Discussion

Question 3: Recommended assessments

A blood test should be ordered to rule out chronic kidney disease. This test would measure creatinine levels in the patient’s blood. The healthcare provider would calculate the amount of waste that the patient’s kidney should filter per minute using her blood test results, size, age, ethnicity, and gender. A level of waste below the standard amount would confirm CKD.

Question 4: Prioritized health needs

The patient’s first healthcare need is oxygen ventilation. The assessment data indicates that the patient’s O2 saturation on room air is 91%. Blood oxygen saturation ranging between 90 and 92% increases the risk of hypoxemia in elderly adults (Tobin et al., 2020)Case Study For Chronic Kidney Disease In Clinical Practice Discussion. Moreover, an RR of 28 breaths/min indicates labored breathing or shortness of breath. Thus, mechanical oxygen therapy should be given immediately to lower the risk of hypoxemia. Secondly, the patient’s BP is 162/96 mmHg, which indicates she is suffering from stage-2 high blood pressure. Additionally, her heart rate was 88 beats/min. Therefore, the patient should be given diltiazem, a calcium channel blocker, to slow her heart rate.

Question 5: The developmental factors to be considered

            Several factors impact healthcare delivery; hence, they should be considered while collecting medical-related data. In this case, the patient’s socioeconomic factors must be considered since they impact her access to a nutritious diet and healthcare services. Additionally, the patient’s culture must be considered since it is likely to impact treatment outcomes.

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References

Dasgupta, I., & Zoccali, C. (2022). Is the KDIGO systolic blood pressure target< 120 mm Hg for chronic kidney disease appropriate in routine clinical practice? Hypertension79(1), 4-11.

Poirier, P., Bertrand, O. F., Leipsic, J., Mancini, G. J., Raggi, P., Roussin, A., & Diabetes Canada Clinical Practice Guidelines Expert Committee. (2018). Screening for the presence of cardiovascular disease. Canadian Journal of Diabetes42, S170-S177.

Tobin, M. J., Laghi, F., & Jubran, A. (2020). Why COVID-19 silent hypoxemia is baffling to physicians. American Journal of Respiratory and Critical Care Medicine202(3), 356-360. Case Study For Chronic Kidney Disease In Clinical Practice Discussion

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