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Showing posts from September, 2020

GM

  Anatomical diagnosis -? Glomerulosclerosis                                                                        Etiological diagnosis -  ? Nephrotic syndrome secondary to diabetic nephropathy/ CKD.     2)Reasons for  I)Azotemia : impaired renal excretion of urea and creatinine secondary to CKD.  II) Anemia : decreased erythropoietin.  III) Hypoalbunemia:due to damage to capillary basement membrane and podocytes.  IV)  acidosis: acidification of urine is lost.                                       3) Rationale : syrup potchlor was given to correct hypokalemia. Inj. NaHCO3 was given for metabolic acidosis.Insulin and antihypertensives are given because of known case of DM and HTN. T.Orofer XT was administered to treat anemia.. Inj. Lasix was given to decrease her volume overload. Spironolactone was given as it is a potassium sparing diuretic.Calcium was given to the patient  because of hypocalcemia secondary to CKD.  Indications of NaHCO3:metabolic acidosis in cardiac arrest, Tricycl