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Patient: J.D.
Age: 73 Yr. Male
Allergies: Contrast Dye (Itch), No known…
Patient: J.D.
Age: 73 Yr. Male
Allergies: Contrast Dye (Itch), No known med allergies
Code: DNR
Reason for Admin: Weakness, Fall
Medication
Lidocaine Topical (Lidoderm) 4%
1 patch, Topical q24hr
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Diagnosis/Problem
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Pathophysiology
Damage to the nephrons, which are the functional units of the kidney; they kidneys become unable to filter waste products appropriately In the blood.
Glomerulosclerosis; glomeruli become thick and scarred that leads to the limited capability of filtration of waste
Tubular atrophy; cells become damaged and affect the reabsorption of substances which Impact the kidney function
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Abnormal bone turnover and mineralization from disturbances In calcium, phosphorus, and other contributing electrolyte Imbalances
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Client Education
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Avoid using NSAIDs for pain relief, as it can be hard on the kidneys
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Goals
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Long Term
Continue physical therapy to ensure client understands own strength and limitations when ambulating w/o assistance
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