This assignment is a case study that deals with the outcome of altered fluids, electrolytes, and acid-base balance in the body. It will allow for you as a student to examine outcomes of the long term effects of hypertension and diabetes from pathophysiology perspective.
Instructions: Read the case study below and answer each question using complete sentences. In questions involving medications, please document the following information about the medication you select (trade name, generic name, dosage, indication for use, side-effects, and contraindications).
You are spending your vacation visiting your 65-year-old grandmother. Though she has had hypertension and diabetes for 20 years, she has been active and relatively well. One morning, you notice that she looks very puffy in her face, legs, feet, and hands. When you asked if she felt well, she stated that she felt a little "lightheaded" when she got up out of bed and was feeling a bit weak. Concerned that there is something wrong, she goes to see her regular health care provider. Her blood pressure was 100/60 and pulse was 96. Upon evaluation of a routine urine screen, she is told that she has proteinuria.
How does proteinuria develop?
What significant aspects of your grandmother's history may represent a likely cause of the development of proteinuria?
Knowing the Hypertension and Diabetes affects the kidneys, what is the relationship between proteinuria and alterations in fluid balance?
Name and discuss one medication that may be used to treat grandmother's hypertension.
Name and discuss one medication that may be used to treat grandmother's puffy face, legs, feet, and hands.
What are the three primary long term complications of diabetes? AND How are they affecting grandmother?