The patient has both a medical and psychological history. S.W. has a history of Hypertension, Chronic Kidney disease, Dyslipidemia, Chronic Anxiety, Depression, Attention Deficit Hyperactivity Disorder (ADHD), Fibromyalgia, Borderline Diabetes, restless leg syndrome and supraventricular tachycardia.
The patient has suffered previous injuries to her kidneys from a virus. Several years ago the patient got the flu and was not getting better but did not go to the doctor. She became so weak that she ended up losing consciousness, and being transported to the hospital via ambulance. Upon examination it was revealed that she had an elevated Blood Urea Nitrogen (BUN) and a Creatinine of more than 1.1. S.W. was admitted to the hospital and treated with IV fluids and carefully monitored. They did not start dialysis because her BUN and Creatinine went back down. S.W. was educated on the potential for more severe kidney damage if she did not receive proper care for infections, and ...
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... of overactive bladder syndrome by antagonizing the smooth muscles within the bladder. The liver metabolizes this medication.
• Ambien (zolpidem)- Used to treat various sleep problems. Ambien is excreted by the kidneys and has the potential to further inhibit the function of S.W. kidney function. The liver metabolizes this medication.
• Benicar HCT (olmesartan)- Reduces blood pressure by blocking the effects of aldosterone and angiotensin II receptor sites in the adrenal glands. This drug is contraindicated in patients with diabetes and moderate to severe renal impairment.
• Xanax (alaprazolam)- Acts at different levels in the CNS to reduce anxiety and depression. Effects are mediated by GABA which is an inhibitory neurotransmitter. Metabolized by the liver.
• Zanaflex (tizanidine)- Reduces spascity of muscles by increasing presynaptic inhibition of motor neurons.
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