Chronic renal insufficiency
M.W. is a 69-year-old African American man and was referred to clinic for evaluation of increasing shortness of breath.
Past medical history
Chronic renal insufficiency
Hypertension
Congestive heart failure
Diabetes mellitus type 2, poor control
Deep vein thrombosis
Alcohol abuse
Chronic obstructive pulmonary disease with respiratory failure
Family history
Noncontributory
Physical examination
Height 69 inches, weight 205 lb
Blood pressure: 138/88
Pulse 86 beats/min, regular
Lungs clear, neck supple negative for jugular venous distention
Lower extremities +1 edema
Laboratory findings
Scr = 2.8 K+ = 5.1
BUN = 56
Na+ = 147
WBC = 5.0
Hb = 8.2
Hct = 24.6
Serum ferritin 189 mg/dL
Social history
Tobacco: 52 pack-years
Alcohol: distant past
Diagnosis: Anemia Of Ckd: Answer the following questions in full sentences using APA citations.
1. List specific goals of treatment for M.W.
2. What drug therapy would you prescribed? Why?
3. What are the parameters for monitoring success of therapy?
4. Discuss specific patient education based on the prescribed therapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What over-the-counter and/or alternative medications would be appropriate for M.W.?
7. What dietary and lifestyle changes would you recommended for M.W.?