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Posted: July 14th, 2022
Patient’s other diagnoses-DM Type II DQ 5
Additional Information for the chronic renal failure case study:
Patient’s other diagnoses-DM Type II, HTN, gout, recurring
pyelonephritis (kidney infection) current infection resolved,
anemia, left big toe amputation 1 year ago, and seasonal allergies.
Medications include: erythropoietin 40,000 unit injection
subcutaneous weekly, lisinopril 50 mg daily PO, glimepiride 25mg
daily PO, allopurinol 150mg twice daily PO, ferrous sulphate
325mg daily PO, sodium bicarbonate 650mg twice daily PO,
Claritin D 10 mg daily PO, vitamin B-12, and multivitamin daily
Allergies: morphine, hydrocodone, and iodine
Patient’s eyes appear puffy. Medications include ferrous sulphate 325 mg daily PO, sodium bicarbonate 650 mg twice daily PO, erythropoietin 40,000 unit injection subcutaneous weekly, lisinopril 50 mg daily PO, glimepiride 25mg daily PO, allopurinol 150 mg twice daily PO, claritin D 10 mg daily PO, vitamin B-12, and multivitamin daily.
Iodine, Morphine, and Hydrocodone are the substances that cause allergies.
Patient’s eyes appear swollen.
Additional labs: Phosphorus- 4.7 (normal 2.5-4.5), pH 7.24 (normal
7.35-7.45)
Patient social history- He is unmarried and is an active member of
the Islamic religion. He has two sisters that had been diagnosed
with renal failure and 1 of them died. Patient’s parents are still
living. Mother has a history of HTN and anemia. Father died at the
age of 59 with kidney failure secondary to chronic HTN and DM
Type II. Diabetes and hypertension is prevalent in the family’s
history among the grandparents for patient’s mother and father
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