Question

can someone help pleass... thank u

Stubborn Grandma Mimi -- Part 1: Mimi's Decline The mountain wind rattled the window of the small cabin as Drew sifted through the papers covering the kitchen table, looking for his physiology notes. Instead of his blue notebook, a pink sheet of paper from Mountain View Labs caught his eye. A closer look showed it to be his 73-year-old grandmother's lab report from some recent blood tests. Mimi had protested all the way to the appointment and all the way home, but Drew had insisted that if he came home for Thanksgiving break, then she was going for the check-up that she had put off for far too long. Mimi had chronic kidney disease, and the doctors wanted her to start dialysis more than a year ago. Not surprisingly, his stubborn grandmother had refused. She was not a good candidate for home dialysis and the nearest dialysis clinic was an hour away. She didn't drive much because of cataracts, and there was no one else to take her. Drew glanced at Mimi as she watched TV. He knew her kidney disease was advancing. He had noticed over the summer that she tired easily, and her feet and ankles were badly swollen. She had always loved to debate politics with anyone who dared, but now she had trouble keeping track of conversation. Last week, she only picked at her turkey and cranberry sauce, saying that she was too nauseated to eat much. She blamed it on the doctor scaring her about her high blood pressure at the appointment the day before, but Drew saw how baggy her clothes were and knew she hadn't been eating much for quite some time. Drew started to scan the lab report, thinking his physiology class might help him understand the results. He had just enough time to glance at the prescription for captopril (Capoten®) and to note that Mimi's blood creatinine was 4.2 mg/dL before she interrupted him. "Drew, there's a Star Wars marathon starting!" She patted the sofa beside her. "Bring the rest of the snickerdoodle cookies and watch with me." Drew found it hard to resist Star Wars or Mimi, so he laid the test results aside and spent the rest of the

Answer 1

From the reputed website, it can be concluded that the kidney with the GFR of 15-29 ml/min is considered to be severely affected in function. Mimi's plasma creatine concentration is 4.2 mg/100 ml. From the graph, it is understood that, it corresponds to GFR of around 25 ml/min.

Hence, the answer is : GFR is around 25 ml/min and this is considered a severely decreased GFR.