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body, WORK CITED, Other Pertient Medical History - Coggle Diagram

- - - - If not fixed it could eventually cause problems to the kidney itself
    - - all signs of decreased kidney function
    - - Pt also suffers from hypertension which can damage blood vessels in the kidneys resulting in decrease kidney function
    - - Metolazone 5 mg oral Daily
        
        Decrease of BP, reduces edema in heart failure & kidney failure, most effective diuretic in kidney failure
    - - Strict I/O's
      - Free Standing wts
      - Free water limit 1500 mL
- - - - Jaundice is the yellowing of skin & sclera
    - - swelling of the abdomen
    - - The increase in portal vein pressure could be associated with the patients hx of esophageal varices
        
        This is when large veins surround the esophagus related to lack of blood flow to organs such as the liver
    - - the build up of toxins from decreased liver function with causes confusion, disorientation, and coma.
  - - - Tacromilus
        
        Prevents rejection of kidney, heart, or liver transplant
      - Prednisone
        
        Immunosuppressive to prevent & treat organ rejection
- - - - It ultimately causes less oxygen in the blood and can contribute to right sided heart failure if the heart cannot pump against the resistance which is seen in this patient.
  - - - Although patients’ cirrhosis is cured from transplant, she endured the effects for many years
- - - - Allows for more productive cought
    - - Local bronchodilator, prevents bronchoconstriction. Inhibits release of histamines, leukotrienes (hypersensitivity) from mast cells in the lung.
        
        allows for easier breathing
    - - Decreases air way resistance, facilitates mucus drainage & increases vital capacity
    - - Treats pain, inflammation
    - - Decrease nausea esp after surgery or chemo
- - - - the blood is being pushed back from the right ventricle, then right atrium, and eventually backward flow into the body.
        
        This back up of blood into body is causing the patients peripheral edema.
        
        The lack of blood flow out of the heart is also contributing to the patients pre-renal AKI since there is lack of perfusion.
- - - - The resistance and constriction also causing decrease blood flow to organs like the kidneys.
        
        This cycle with the kidneys can ultimately worsen the patient’s hypertension and acute kidney injury.
        
        When the kidneys decrease blood flow, they retain water and sodium
        
        try to increase the blood pressure to regain perfusion
  - - - Decreases blood pressure and heart rate by inhibiting sympathetic NS
    - - decrease BP with renal & liver disease
        
        Helps decrease orthostatic hypotension d/t kidneys not able to compensate
- - - - antiarrhythmic drug
- - - - H2 blockers that decreases amt of hydrochloric acid made in the stomach’s parietal cells
- - - - Tetracyclic antidepressant, enhances noradrenergic & serotonergic activity
    - - Serotonin receptor agonists; increases the action of serotonin receptors in brain
    - - Improving sleep patterns by regulating sleep-wake cycles
    - - Decreases symptoms of anxiety attacks