Hi im a nursing student from Australia, i was wondering if you could help me with a case study?
55 year old woman ?UTI and ?Renal Failure
PMHx : T2DM, HT
Medication: 180mg Diltiazem, 100mg Metformin, 10mg Glibenclamide, & 100mg Cartia
Pt is experiencing: nausea & vomiting, feeling generally unwell, burning when passing urine, fatigue and low output.
M.O prescribed Trimethoprim for ?UTI
U/A showed RBC +++, PROTEIN++, TRACE WBC, Urine itself is cloudy and foul smelling
BLOODS: Na 135, K 5.5, Cl 108, Urea 12.0, Creatinine 1.5mg, Cholesterol 6, WBC 8, hB 105, Platelets 170, Hba1C 7%, Glucose 8.7, Total Protein 95.
Pt has bilateral pitting oedema
600ml fluid restrictions (strict)
OBS: BP 160/80, T 37.5, HR 95, RR 16 (Deep breathing pattern)
What can you tell me about this info? Do you think it is more UTI infection or more Renal Failure ? and Why?