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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for chronic kidney failure due to diabetes

he is 54y/o male client, diagnosed with chronic kidney failure secondary to diabetis mellitus type 2. i just want to ask what medicines shoud be given and what dose. this is just for my thesis due for monday. and i need to pass this. pls help me. just want to ask the medicines for discharge plan. whatever you say will not be given to the patient, just for my homework. thankyou doctor. pls help me.
Tue, 17 May 2016
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Urologist 's  Response
Hello and welcome to HCM.
As an Urologist,i can understand your anxiety.
The patient has diabetic nephropathy with CKD(chronic kidney disease).
The patient must get diabetic control with insulins.
Strict control of protein 40gms and salt 6gms daily is essential.
Fluid intake should be urine output, plus 500ml daily.
Medical treatment,for B.P.control,calcium,and hematinics is needed.
His Hb,urea,creatinine,sodium,potassium and ACR will need to be tested.
Erythropoetin is given,if anemia is severe.Packed cells may be given.
If you've any doubts,send it as a direct question.
Dr.Matthew J. Mangat.

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