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Quentin has been a patient at your healthcare office for the last nine years. He is 53 years old and was diagnosed two years ago with stage 5 chronic kidney disease due to accelerated hypertension. He also has asthma and is Hepatitis C positive. You have not seen Quentin for around six months, and he is now attending a routine appointment with you. Quentin had been an IT consultant but is not currently working because of his medical problems. He has been separated from his wife since 2003. Because of his renal impairment, he is seen in an advanced chronic kidney disease clinic and he has recently decided to have hemodialysis as his renal replacement therapy. On direct questioning, Quentin reports feeling very tired to the point of weariness, he says that his memory has been affected recently, he has also had a lack of interest in his hobbies and is finding it difficult to be able to enjoy everyday activities such as watching the television or sharing a meal with his family.
What are some of the factors that may have affected the development of Quentin's symptoms?
At the end of the consultation, you agree to make refers for an additional appointment for Quentin. Who (or what types of healthcare providers) do you refer Quentin to see
You prescribe medications for all of Quentin's known diseases. List the medications that you would prescribe to treat his health conditions.
most easily pass through the blood - brain barrier
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