Case Study
Mr.M has been diagnosed with chronic kidney disease Stage 5 and is going to be requiring dialysis.His initial laboratory work came back and he has low Na, Cl, and Ca levels as well as high K and P levels.The physician has put him on a fluid restriction, a potassium restriction, and a phosphorus restriction.
-Which of the following is contributing to Mr M's fluid imbalance?

Question

Case Study 
Mr.M has been diagnosed with chronic kidney disease Stage 5 and is going to be requiring dialysis.His initial laboratory work came back and he has low Na, Cl, and Ca levels as well as high K and P levels.The physician has put him on a fluid restriction, a potassium restriction, and a phosphorus restriction.
-Which of the following is contributing to Mr M's fluid imbalance?

Quizplus · Accepted Answer

Chronic kidney disease impairs the kidneys' ability to regulate fluid balance, leading to excessive fluid retention or loss. In Mr. M's case, his low sodium levels suggest that he is losing too much fluid. Mr. M's chronic kidney disease is contributing to his fluid imbalance as the diseased kidneys are unable to properly filter and reabsorb fluids, leading to accumulation and fluid retention in the body. This is why the physician has put him on a fluid restriction to manage his fluid levels. Excessive urine output, aldosterone secretion exceeding production, and excessive thirst are not mentioned in the case study as factors contributing to Mr. M's fluid imbalance.

Case Study Mr.M Has Been Diagnosed with Chronic Kidney Disease Stage 5