NTDT451 Quiz: renal adime

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Overview information: 49 y/o caucasian female admitted 1/21. C/o sob and catheter replacement to start dialysis again. Medical hx: membranoproliferative glomerulonephritis, allograft transplan x 2, htn, dyslipidemia, anemia. Family hx: cervical cancer (mother), lung cancer (father) Past surgeries: s/p unilateral cophorectomy, allograft kidney transplant x2, umbilical hernia repair. Current medications/supplements: procardia, carvedilol, catapres, cellcept, fish oil, lasix, prednisone, gengraf, prinivil, sodium bicarbonate, calcitriol, renal caps, renvela. Poor appetite, mild nausea, food has bad taste. 24 hour recall breakfast: egg mcmuffin, 6 oz oj, coffee lunch: cheeseburger, fries, apple pie 12 oz coke dinner: 6 oz roast beef au jus, 3 small oven-browned potatoes, c broccoli, iced tea, roll with butter. Per supertracker: 2155 kcal, 65g pro, 2719mg na, 2619mg k, 944mg p. Current diet order: 1500 kcal, 75g pro, 3000mg na, 3500 mg k, 1000mg p, 2000 cc fluid. Energy (~35kcal) 2478kcal dialysate 446 kcal 2032kcal.

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