SECONDARY TO: DIABETHIC NEPHROPATY

PATIENT’S PROFILE

Name: Mallorca, Celestino Factor

Age: 51 y.o
Sex: M
CS: Married
Date of Birth: April 6, 1959
Add: Romblon/ Alabang
Occupation: Security Guard
Attending Physician: Dr. Macalalag
END STAGE RENAL FAILURE
(CHRONIC RENAL FAILURE)
is that stage of kidney impairment which is
irreversible, cannot be controlled by conservative
management alone, and requires dialysis or kidney
transplantation to maintain life.

CX:
1. retinopathy *
2. heart disease
3. postural HPN
4.Neuropathy
DIABETIC NEPHROPATHY

A progressive and serious disorder of the kidneys in

which the small blood vessels of these organs
become damaged and begins to leak.

MICROALBUMINURIA- a protein (albumin)

excreted or lost in the urine in increasing amount
(30-300mg/day)----PROTEINURIA
 SIGNS AND SX:
 Generalized feeling and fatigue

 Generalized itching (pruritus) and dry skin

 Headache

 Weight loss without trying

 Loss of appetite

 Nausea and Vomiting

 Other symptoms may develop, including:
 Abnormally dark or light skin and changes in nails
 Bone pain
 Brain and nervous system symptoms
 Drowsiness and confusion
 Problems concentrating or thinking
 Numbness in the hands, feet, or other areas
 Muscle twitiching or cramps
 Breath odor
 Easy bruising, nosebleeds, or blood in the stool
 Excessive thirst
 Frequent hiccups
 Low level of sexual interest and impotence
 Menstrual periods stop
 Sleep problems
 Edema
 Other symptoms may develop, including:
 Abnormally dark or light skin and changes in nails
 Bone pain
 Brain and nervous system symptoms
 Drowsiness and confusion
 Problems concentrating or thinking
 Numbness in the hands, feet, or other areas
 Muscle twitiching or cramps

 Breath odor
 Easy bruising, nosebleeds, or blood in the stool
 Excessive thirst
 Frequent hiccups
 Low level of sexual interest and impotence
 Menstrual periods stop
 Sleep problems
PATOPHYSIOLOGY
LAB VALUES
LAB RESULTS NORAL CLIN ICAL CLINICAL NSG
EXAM VALUES SIGNIFICA MANIFES RESPONS
NCE TATION IBILITY
1. K 6.25 3.5-5.5
mg/dl
LAB VALUES