M.W. is a 69-year-old African American male

M.W. is a 69-year-old African American male and was referred to clinic for evaluation of increasing shortness of breath. Past medical history: Chronic renal insufficiency Hypertension Congestive heart failure Diabetes mellitus type 2, poor control Deep vein thrombosis Alcohol abuse Chronic obstructive pulmonary disease with respiratory failure Family history: Noncontributory Social history: Tobacco: 52 pack-years Alcohol: distant past Physical examination: Height 69 in., weight 205 lb Blood pressure: 138/88 Pulse 86 beats/min, regular Lungs clear, neck supple negative for jugular venous distention Lower extremities +1 edema Laboratory findings: Na+ = 147 K+ = 5.1 BUN = 56 SCr = 2.8 WBC = 5.0 Hb = 8.2 Hct = 24.6 Serum ferritin 189 mg/dL Diagnosis: Anemia of Chronic Kidney Disease List specific goals of treatment for M.W. What drug therapy would you prescribe? Why? What are the parameters for monitoring success of therapy? Discuss specific patient education based on the prescribed therapy. List two adverse reactions for the selected agent that would cause you to change therapy. What would be the choice for second-line therapy? What dietary and lifestyle changes would you recommend for M.W.? Describe a drug-drug or drug-food interactions for the selected agent. SCIENCE HEALTH SCIENCE NURSING NURSING 650

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