Mini Case analysis. Due 10/04/15
Assessment 2 – Mini Case analysis 1500 words +/- 10%
This assessment enables you to link theory and practice by considering the patient’s medical history, analysing the findings and then evaluating the potential impact on their current clinical condition.
Mrs Martine is a 69 year old lady with Stage 4 Chronic Kidney Disease (CKD) secondary to Diabetic Nephropathy. Mrs Martine is presenting to day surgery for routine creation of vascular access prior to eventual commencement of haemodialysis.
Past medical history
Mrs Martine has a past medical history which includes, Diabetes type 1, peripheral vascular disease, Hypertension and Osteo arthritis. During a routine workup for living related transplantation a cardiac angiogram with contrast was performed, no significant findings were reported.
Current medications consist of:
• Actrapid insulin (before meals)
• Enalapril 20 mg daily
• Attenolol 100mg daily
• Panadol 2 tablets 4 hrly PRN
Prior to being diagnosed with CKD Mrs Martine had regularly used non-steroidal anti-inflammatories to ease the pain associated with the osteo-arthritis.
Mrs Martine is alert and orientated and appears to have a good understanding of her condition and treatment options. Attendance at the nephrology outpatient department has been regular and Mrs Martine acknowledges that commencement of dialysis in the near future is inevitable.
• Temperature is 35.9
• Heart rate 88
• Blood pressure 150/85
• SaO2 95%.
On admission Mrs Martine’s had fasted from 12 Midnight and the blood sugar level was 10mm/l
Examine Mrs Martine’s medical history and analyse the implications/relationship between this and her current condition of CKD stage 4. Ensure you include in your discussion (not exclusively):
Predisposing factors to renal impairment
How each of these could impact on renal structure, perfusion, and glomerular filtration.
Our Service Charter
Excellent Quality / 100% Plagiarism-FreeWe employ a number of measures to ensure top quality essays. The papers go through a system of quality control prior to delivery. We run plagiarism checks on each paper to ensure that they will be 100% plagiarism-free. So, only clean copies hit customers’ emails. We also never resell the papers completed by our writers. So, once it is checked using a plagiarism checker, the paper will be unique. Speaking of the academic writing standards, we will stick to the assignment brief given by the customer and assign the perfect writer. By saying “the perfect writer” we mean the one having an academic degree in the customer’s study field and positive feedback from other customers.
Free RevisionsWe keep the quality bar of all papers high. But in case you need some extra brilliance to the paper, here’s what to do. First of all, you can choose a top writer. It means that we will assign an expert with a degree in your subject. And secondly, you can rely on our editing services. Our editors will revise your papers, checking whether or not they comply with high standards of academic writing. In addition, editing entails adjusting content if it’s off the topic, adding more sources, refining the language style, and making sure the referencing style is followed.
Confidentiality / 100% No DisclosureWe make sure that clients’ personal data remains confidential and is not exploited for any purposes beyond those related to our services. We only ask you to provide us with the information that is required to produce the paper according to your writing needs. Please note that the payment info is protected as well. Feel free to refer to the support team for more information about our payment methods. The fact that you used our service is kept secret due to the advanced security standards. So, you can be sure that no one will find out that you got a paper from our writing service.
Money Back GuaranteeIf the writer doesn’t address all the questions on your assignment brief or the delivered paper appears to be off the topic, you can ask for a refund. Or, if it is applicable, you can opt in for free revision within 14-30 days, depending on your paper’s length. The revision or refund request should be sent within 14 days after delivery. The customer gets 100% money-back in case they haven't downloaded the paper. All approved refunds will be returned to the customer’s credit card or Bonus Balance in a form of store credit. Take a note that we will send an extra compensation if the customers goes with a store credit.
24/7 Customer SupportWe have a support team working 24/7 ready to give your issue concerning the order their immediate attention. If you have any questions about the ordering process, communication with the writer, payment options, feel free to join live chat. Be sure to get a fast response. They can also give you the exact price quote, taking into account the timing, desired academic level of the paper, and the number of pages.