Case-1: Patient History J.H. is a 12-year-old boy diagnosed several months ago w
ID: 91782 • Letter: C
Question
Case-1: Patient History
J.H. is a 12-year-old boy diagnosed several months ago with nephrosis following postinfectious glomerulonephritis secondary to an episode of pneumococcal pneumonia. He has been coming to the clinic to have his condition monitored and therapies adjusted as needed. At his latest clinic visit, a decrease in urine output, increasing lethargy, hyperventilation, and generalized edema are noted. Trace amounts of protein are detected in J.H.’s urine by dipstick. Blood is drawn for laboratory analysis, and the results are as follows:
pH = 7.36
PaCO2 = 33 mm Hg
PaO2 = 100 mm Hg
HCO3 – = 18 mEq/L
Hct = 30%
Na+ = 130 mEq/L
K+ = 5.4 mEq/L
BUN = 58 mg/dl
creatinine = 3.9 mg/dl
albumin = 2.0 g/dl
Analyze this case study and answer the next four questions that follow.
Case-1: Question-4
How will J.H.’s therapy change if his condition has progressed from nephrosis to uremia? (select all that apply)
A) Restrictions on salt and potassium intake may be instituted.Explanation / Answer
How will J.H.’s therapy change if his condition has progressed from nephrosis to uremia? (select all that apply)
A) Restrictions on salt and potassium intake may be instituted.
C) In nephrosis the patient is encouraged to consume high protein diet. In uremia a low protein diet is recommended and precautions to avoid fluid volume overload are needed as urine output falls
In uremia the patient is encouraged to consume low protein diet because it protects against various histologic damage and helps improve mortality. And In CRF patients, low protein diets help is making uremic symptoms and certain CRF complications better. And in nephrosis patient are suggested in have a high protein diet because this syndrome results in lowering of protein in the urine and so the patient should consume correct amount of protein. Whereas restrictions on salt and potassium intake should be instituted because it may cause more damage to the kidneys.