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Old 09-23-2011
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Default Chronic Renal Failure

A 45-year-old man with advanced chronic renal failure comes to the physician because of edema of his feet. His temperature is 37C (99F): blood pressure is 150/100 mm Hg, pulse is 78/min, and respirations are 15/min. Examination shows bilateral ankle edema. Laboratory studies show BUN of 62 mg/dL, serum creatinine of 4.2 mg/dL, serum potassium of 5.6 mEq/L, serum sodium of 146 mEq/L and total plasma cholesterol of 260 mg/dL. Which of the following is most likely to improve the prognosis of his disease?

A. Captopril
B. Simvastatin.
C. Protein restriction.
D. Salt restriction.
E. Potassium restriction.

Please reply with explanation
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DocSikorski (09-23-2011)

Old 09-23-2011
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I'd say Captopril
as 'pril' to be ACEI - angiotensin-converting-enzyme inhibitor, so no angiotensin II would constrict vessels and efferent arterioles.

this would be my best guess

wait... I guess salt restriction makes more sence though...
Ambition is a dream with a V8 engine. EP
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Old 09-23-2011
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This question was discussed here and I am also waiting for the answer

Improving the prognosis of Chronic Renal Failure?

Hope it's OP gonna post ans soon.

BTW I think B. Simvastatin

Reason: Pt. with CKD are inc risk of dying with heart disease.
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