Renal Failure Patient Profile: J.M. is a 37-year-old woman transferred to a large medical center from a small rural hospital for further evaluation of lower abdominal pain, nausea, vomiting, and progressive deterioration of urinary output. Subjective Data: -Long history of ETOH Abuse with a drinking binge two days ago -Arthritis with heavy use of ibuprofen -HTN for three years, treated with hydrochlorothiazide and a calcium channel blocker -Borderline NIDDM for three years, does not want to take medications and has been trying to lose weight and watch her sugar intake. Objective Data: B/P: 160/110 K: 6.3 mEq/L Urinary output: <15ml>
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