Explain the pharmacodynamics of this medication

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Reference no: EM133341913

Case Study: Lana Darner is 46 years old and has been diagnosed with Chronic Kidney Disease; she is has an eGFR of 31ml/min/1.73m2 and her kidneys are functioning has declined greatly.
Over the past year, Lana has lost weight due to reduced appetite, has developed dry skin and an annoying pruritis, is oliguric, her blood glucose levels have been erratic and she is experiencing oedema.
In the last few weeks however, Lana has been feeling excessively tired and fatigued, she also feels her "heart racing" and is short of breath.
- Her medical history includes: hypertension, type 2 Diabetes Mellitus, caesarean section in 2005, reflux and headaches.
- Vital observations: HR - 115, BP - 163/94, RR - 22, Temp: 36.8oC, SpO2 - 95% on room air. Fasting BGL: 11.7mmol/L

Qu1) Based on some of Lana's symptoms, what is she experiencing signs of?

Qu2) Your answers to the following questions should demonstrate your knowledge of Chronic Kidney Disease pathophysiology.
(a) Briefly explain the link between hypertension, oedema and CKD.
(b) Explain the link between CKD and Lana's symptoms from the last few weeksas mentioned in the case study.

PHARMACOLOGY QUESTIONS

Qu1) What is the most common medication that would be prescribed by a doctor, for a patient who is hypervolaemic?

Qu2) Briefly explain, in your own words, the pharmacodynamics of this medication.

Qu3) Identify a nursing intervention you would implement if your patient was on this medication - ensure you include your rationale as to why you would doO this.

Reference no: EM133341913

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