Questions and Topics We Can Help You To Answer:
Paper Instructions:

Watch the Acid-Base Balance video below first.
Understanding Acid-Base Balance:

REFERENCE
F.A. Davis. (2016). Davis advantage – Fluid, electrolyte, and acid-base homeostasis – Acid-base balance [Video file]. https://vimeo.com/149416183

Case Study 
Christina is an 8-year-old girl who had been taking ampicillin for an ear infection. Seven days ago, she had an anaphylactic reaction to the ampicillin, was brought to the Emergency Department by her parents, and admitted to the Pediatric Intensive Care Unit where she was stabilized. Five days after admission, Christina developed oliguria and her serum BUN and creatinine levels are as follows: BUN: 42  -  Creatinine: 2.1

*Discuss the pathophysiology of why Christina's renal system is reacting this way.

*Explain the type of acute kidney injury (AKI) Christina has developed.

*What other physical assessment findings and lab test results would you expect? Explain the pathophysiology.

*Christina's parents are concerned she will require dialysis and a kidney transplant. How will you respond? Explain your rationales.

PLEASE ONLY USE THE PROVIDED ATTACHEMTS AND WATCH THE VIDEO TO COMPLETE THIS CASE STUDY.

THIS ARE THE REFERENCES FOR THE LAST PAGE:

REFERENCES

F.A. Davis. (2016). Davis advantage – Fluid, electrolyte, and acid-base homeostasis – Acid-base balance [Video file]. https://vimeo.com/149416183

Porth, C. M. (2015). Essentials of pathophysiology: Concepts of altered health states (4th ed.). Wolters Kluwer.

Saban, J., Pizzi, M., Caldwell, J., Palijan, A., & Zappitelli, M. (2017). Previous aminoglycoside use and acute kidney injury risk in non-critically ill children. Pediatric Nephrology, 32(1), 173–179. https://doi.org/10.1007/s00467-016-3471-9

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