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RJ, a 47-year-old male presented to the emergency room with confusion for the past 5 days. He and his family had just returned from vacation. The patient didn’t remember exactly when or how his symptoms started, it came on slowly during the last days of his trip. He remembered feeling weak before he started to get confused. As soon as the family returned home, his wife drove him directly to the closest emergency room (ER). РМН: Type 2 diabetes, hypertension, hypercholesterolemia Labs: Date Na K CI 3 BUN SCr Glu Admi ssion 126 4.5 80 28 51 1.9 958 Date Ca Mg A1c pH Admission 10.7 2.5 10.3 7-35 Urinalysis: (+) bacteria, trace ketones, (-) hemoglobin, (-) protein UPDATE: Looking through the patient’s chart, you notice that two months ago, his serum creatinine was 1.2 mg/Ä‘L.* QUESTION: What is the most likely reason for the decrease in renal function? Answers: A – D A Pre-renal AKI B Intrinsic AKI C Post-renal AKI D Chronic kidney disease
SCIENCE
HEALTH SCIENCE
NURSING

 
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