General Instructions

In the following activity, you will have to recapitulate, remember and explain the physiological facts that the order indicates.

Step 1 - Review

Analyze the following scenario:

A 70-year-old lady admitted to the emergency service presents fatigue, shortness of breath, confusion, nausea, weakness, and irregular heartbeat. She has fluid retention, causing swelling in her ankles, and has not presented urine for two days. The relative who accompanies her says that the patient is diabetic, but it is not controlled and does not follow adequate treatment.

Step 2 - Respond

• Does the patient have acute or chronic renal failure?
• What signs lead you to the conclusion of renal failure?
• Explains the role of the Renin-Angiotensin system and how it is affected in the patient, taking into account the pathological history of diabetes.
• If the patient does not present bladder retention, is there something mechanical that is obstructing the urine? Why does she not present diuresis?
• Why is the patient breathing like this? Is she trying to regulate her body? What acid-base alterations are present in this case?

Step 3: Share 

To share your work, click the “Add a new discussion topic” button under this post and paste your work into the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

Step 4: Interact 

To complete the activity, you need to post a reply. Click “Reply” on the main discussion, and then click “Post to forum.”

OPTIONAL Step 5: Interact (10 minutes)

If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”