A 49 year old man known to have chronic kidney disease has been evaluated for nausea, lethargy, and contusion. He has elevated jugular venous pressure, clear lung fields, and harsh systolic and diastolic sounds heard over the precordium. Laboratory workup: K: 6 mEa/L. HC02: 14 mE/L. BUN 145 medL, and creatinine 8.5 me/dL. What is the single best intervention in his case?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: E. Urgent haemodialysis
A CKD patient with confusion (uraemic encephalopathy) and harsh systolic + diastolic precordial sounds (pericardial friction rub = uraemic pericarditis), plus hyperkalaemia and acidosis. Uraemic pericarditis and encephalopathy are absolute indications for urgent dialysis.
- Insulin/glucose or bicarbonate treat only one abnormality.
- Saline and furosemide do not address the uraemia.
- المصدر
- Nephrology 🌷.pdf · p. 20
Nephrology 🌷.pdf · p. 21 - المحاضرة
- AKI & CKD · Nephrology · Module C
- ظهر في
- Nephro bank