Give a patient diagnosis, laboratory result, and documentation of drug therapy and plan using SOAP and FARM format.

Case study of Drug dosing in renal insufficiency.
Give a patient diagnosis, laboratory result, and documentation of drug therapy and plan using SOAP and FARM format.

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Expert Solution

The affected person is a 41 year-old male who has a longstanding records of hypertension and diabetes and provides with a grievance of pruritis, lethargy, lower extremity edema, nausea and emesis. He denies any different clinical illnesses.

On bodily investigation the patient is a well-developed, well-nourished male in moderate distress. Blood strain 180/110, pulse 80, respirations 24 and he was afebrile. Body weight 76.5 kg. HEENT was once first-rate for fundoscopic findings of A-V nicking and copper wire adjustments steady with hypertensive injury. Cardiac investigation had an S1, S2 and S4. The remainder of the investigation used to be fantastic for two decrease extremity edema and superficial excoriations of his pores and skin from scratching.

24-hour urine protein and creatinine - quantity 850 ml, protein 600 mg/dl and creatinine 180 mg/dl

Renal ultrasound- Right kidney 9 x 6.0 cm, Left kidney 9.2 x 5.8 cm

Both kidneys illustrate hyperechogenicity and no hydronephrosis.

Nightingale answered 2 years ago

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