End Stage Renal
Disease
, Assessment
● The patient is a 67-year-old female named ● Discontinuation of this medication led to uncontrolled
Guadalupe Martinez-Ramos. Lupe is from Mexico, hypertension, leading to target organ damage to the kidneys and
and speaks very little English. She lives at home with ultimately resulted in renal failure. Lupe has now been placed on
her adult son, Mateo, who helps facilitate her peritoneal dialysis to help detox her body in a way that her kidneys
medical care. no longer can.
● Lupe suffers from ESRD, secondary to uncontrolled ● The patient also has an extensive medical history including CHF,
hypertension. When she was originally diagnosed Type II Diabetes with the use of insulin, as well as the hypertension.
with hypertension, she was prescribed Lisinopril and All of these will need to be well managed in order to provide the
developed the hallmark side-effect of ACE Inhibitors, patient with the best possible outcome in her newest diagnosis.
a persistent dry cough. Bothered by this, she
discontinued the use of the medication. Due to the
language barrier, Lupe did not contact her
prescribing physician about her decision.
Disease
, Assessment
● The patient is a 67-year-old female named ● Discontinuation of this medication led to uncontrolled
Guadalupe Martinez-Ramos. Lupe is from Mexico, hypertension, leading to target organ damage to the kidneys and
and speaks very little English. She lives at home with ultimately resulted in renal failure. Lupe has now been placed on
her adult son, Mateo, who helps facilitate her peritoneal dialysis to help detox her body in a way that her kidneys
medical care. no longer can.
● Lupe suffers from ESRD, secondary to uncontrolled ● The patient also has an extensive medical history including CHF,
hypertension. When she was originally diagnosed Type II Diabetes with the use of insulin, as well as the hypertension.
with hypertension, she was prescribed Lisinopril and All of these will need to be well managed in order to provide the
developed the hallmark side-effect of ACE Inhibitors, patient with the best possible outcome in her newest diagnosis.
a persistent dry cough. Bothered by this, she
discontinued the use of the medication. Due to the
language barrier, Lupe did not contact her
prescribing physician about her decision.
