Renal Case Study Paper
Renal Case Study Paper
Renal Case Study
Graded Assignment
Mr. G is a 47 y/o m adm w/ uncontrolled HTN. He had a h/o severe leg cramping about 12 mos ago when taking Lasix and his renal function was WNL at that time. Currently he is adm w/ s/o uremia i.e. nausea. He has not eaten anything in the last 5 days and UOP is scant~ 300 mL.Ht 5”10” UBW 225# CBW 215#. He has had an unintentional weight loss over the last 4 mos due to nausea and no appetite. Weight after his 1st HD session was 210#.
Sign meds: Lasix. Epogen and Phos-lo
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Upon admission his labs were as follows: Renal Case Study Paper
Na 142
Cl 95
BUN 80
Creat 7.2
K 5.5
TCO2 21
Bl Sug 111
Albumin 3.5
H&H 11/33
MCV 80
RBC 3.7
Urinalysis: +2 protein, low specific gravity and low pH.
Adm I/O 960/500; Most recent I/O 1800/1500. Renal Case Study Paper
- Nutrition Diagnosis (PES statement)
- List the principles of the diet for a renal patient on hemodialysis.
- Convert 60 mEq K to mg
- Why would the protein restriction be if the pt was not on HD?
- On the next page, create a SOAP note for Mr. G using all of the previous history information.
- Calculate Mr. G’s BEE using the Harris-Benedict equation and the appropriate stress factor.
- G’s energy and protein requirements on hemodialysis are higher than his energy and protein requirements without hemodialysis. Explain why.
- The RD encouraged Mr. G to increase his caloric intake by eating more fat and sugar. Comment on the advantages vs. disadvantages of doing this with a patient who has renal disease.Renal Case Study Paper
- Using Mr. G’s last plan of MNT (1.3 g of protein per kg of IBW, 2 g Na, 90 mEq K, and 500 mL fluid + urinary output), plan a day’s menu using renal diet exchanges. Your textbook or your local diet manual would be good places to obtain renal exchanges.
Renal Case Study Paper
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