Case Study

[I will be a nurse]

so i have this case study and i'm kind of unsure of how this is all related i put some answers but would just like some feedback plese :)

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[color=#c3260c]*[color=#404040]t.c. is an 80 year-old farmer who is diabetic. hishistory includes smoking for 50 years (but not in the past 10 years), angina,hypertension, and atrial fibrillation. t.c. has been on nifedipine (procardia) 20 mg qid[color=#404040] and digoxin (lanoxin) 0.375 mg qd. he adjustshis insulin (regular and nph) depending on his activity (he occasionally helpshis sons with livestock and field work). t.c. underwent triple coronary bypasssurgery yesterday.

[color=#404040]thepostoperative course was uncomplicated until it was determined in the postanesthesia[color=#404040]reco[color=#404040]very area that he was bleeding. t.c. was returnedto surgery and five units of blood were administered during the secondoperation. today, t.c.'s urine output is less than 5 ml/hr and he isdiagnosed with acute tubular necrosis (atn).[color=#404040]

sincet.c.'s blood pressure never droppedbelow 80/50 in the recovery area and surgery, what contributed to the poorkidney perfusion that led to acute tubular necrosis? consider his originalmedical problems.

these are my answers any feedback would be greatly appreciated!!!!

cvd(cardiovasculardisease), htn (increase pressure

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