Question

Mrs. Brown, an 80-year-old female, is brought to the emergency room by her son who reports she

has been vomiting violently for the past 24 hours. The patient stated she had been vomiting for 2

days and had been unable to take food or fluids. She has been healthy and currently takes only a

diuretic for her blood pressure. On physical examination, the nurse notes the patient’s skin is dry

with decreased turgor, oral mucous membranes are dry, temperature is 99.7 degrees F, heart rate is

100 bpm, and blood pressure is 90/60 mmHg. Mrs. Brown is unable to void, so the nurse inserts a

catheter with a return of less than 50 ml of dark amber urine. When reviewing the patient’s

laboratory results the nurse notes the patient’s BUN is 75 and she has a serum creatinine of 3.2.

A. What do these findings most likely indicate? How does the BUN/creatinine ratio help to determine the type of AKI Mrs. Brown is experiencing?

B. What signs and symptoms noted by the nurse are characteristic of renal failure?

C. If the blood pressure continued to drop in this patient and the patient developed acute tubular necrosis, what would happen to the kidney tubule?

Answer 1

Q.A. What do these findings most likely indicate? How does the BUN/creatinine ratio help to determine the type of AKI Mrs. Brown is experiencing?

A.The above findings mostly indicates it has the Renal failure/Kindney injury.By increase in Blood urea nitrozen/creatinine due to decreased renal perfusion leads to reduces glomerular filtration rate and the patient is experiencing intra renal disease type in which structure effects(tubular necrosis).

Q.B. What signs and symptoms noted by the nurse are characteristic of renal failure?

A.The signs and symptoms are

* Decreased urine out put

* Nausea & Vomiting

* Shortness of breath

* Weakness

* Dehydration.  

Q.C. If the blood pressure continued to drop in this patient and the patient developed acute tubular necrosis, what would happen to the kidney tubule?

A.The patient develop the acute tubular necrosis due to low blood pressure. if the blood flow continuously decreases the blood cant reach the kidneys due to the decreased flow, the kidneys may damaged or destroyed.