Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of...
Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of hypertension and uncontrolled type 1 diabetes (since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently receiving hemodialysis three times per week for three hours. He is in the hospital because he went into DKA a few days ago when he had a stomach virus. He is asking you about renal transplantation.
What are the criteria to be placed in the transplant list?
What options for transplantation does Mr. Rojas have?
What recommendations can you give Mr. Rojas on treatment compliance?
What other renal replacement therapies could Mr. Rojas be educated about?
What are their advantages and disadvantages?
Homework Answers
ANSWERS :
1. The following criteria should be placed in the transplantation list of the patient: the patient should be free of medical conditions like diabetes mellitus, cardiac problems, endocrine disorders may cause risk during the surgery. If the patient is undergoing for the surgery intense observation is required to prevent further complications
2. Renal transplantation option would be risky for Mr. Rojas, because keeping in mind about the medical history of the patient as he is having uncontrolled type 1 diabetes,and hypertension
3. The following recommendations I can give to Mr. Rojas regarding the treatment compliance- intake of his blood pressure medicines, educate him to closely monitor his blood sugar levels, nutritional considerations by the nutritionist help, dieatry modifications as the patient is having diabetes and hypertension.
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