Author Question: A patient is diagnosed with hypertension caused by polycystic kidney disease. What might be helpful ... (Read 72 times)

EAugust

  • Hero Member
  • *****
  • Posts: 550
A patient is diagnosed with hypertension caused by polycystic kidney disease. What might be helpful to control this patient's blood pressure?
 
  1. ACE inhibitors
  2. kidney transplant
  3. dialysis
  4. peritoneal dialysis

Question 2

An older patient is admitted to the hospital with cardiac complications associated with diabetes. What should be of concern to the nurse regarding this patient's medications?
 
  1. the type and amount of medications in relation to the patient's renal function
  2. whether the patient is taking the prescribed dosages
  3. what vitamins and supplements this patient is taking
  4. the costs of the patient's medications



covalentbond

  • Sr. Member
  • ****
  • Posts: 336
Answer to Question 1

Correct Answer: 1
Hypertension associated with polycystic disease is generally controlled using angiotensin-converting enzyme (ACE) inhibitors or other antihypertensive agents. Renal transplant or dialysis is indicated when kidney function cannot control the wastes from metabolic processes.

Answer to Question 2

Correct Answer: 1
Decreased glomerular filtration rate (GFR) in the older adult also reduces the clearance of drugs excreted through the kidneys. This reduced clearance prolongs the half-life of drugs and may necessitate lower drug doses and longer dosing intervals. Common medications affected by decreased GFR include cardiac medications and anti-diabetic agents. Assessing the patient's compliance with the prescribed dose is important in any circumstance but is not specific to this scenario. Use of vitamin supplements should be assessed, but is not specific to the situation described. The nurse might suspect noncompliance if the cost of medications is an issue but this is not a priority otherwise.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

The first-known contraceptive was crocodile dung, used in Egypt in 2000 BC. Condoms were also reportedly used, made of animal bladders or intestines.

Did you know?

Certain rare plants containing cyanide include apricot pits and a type of potato called cassava. Fortunately, only chronic or massive ingestion of any of these plants can lead to serious poisoning.

For a complete list of videos, visit our video library