ANP 650 Week 10 Discussion

W10 DQ ANP 650

Q-1

A 65-year-old male with a past medical history of hypertension and renal failure is hospitalized with critically high potassium levels and associated arrhythmias. Select two differential diagnoses for the possible cause of elevated potassium. The patient is worried about a continued rise in his creatinine levels since he does not want to be "tied to a machine." Explain the criteria for beginning hemodialysis, the different types of hemodialysis, and how you would decide what therapy would be needed. Recommend and educate the patient on the nutritional interventions.

Q-2

Your preceptor is very busy and has asked you to see a new consult for difficulty urinating and evaluation of patient acuity. What questions would you prepare to help guide your history taking? Why? Explain the diagnostic tools you would use. Recommend and educate the patient on the environmental and nutritional interventions.