Question

You have a patient with severe muitiple sclerosis that is advanced and progressive who now develops renal failure secondary to diabetes. The patient is alert and has elected to put the DNR order in place at her own discretion. The patient's potassium level is now markedly elevated at 8 meq/L. Which of the following is the most appropriate management of this patient? a. Dialysis cannot be done because of the DNR order. b. You can do the dialysis if the DNR is reversed for the procedure. c. Go ahead with the dialysis; ignore the DNR order. d. Give kayexalate until the DNR status is discussed with the family.

    You have a patient with severe muitiple sclerosis that is advanced and progressive who now develops renal failure secondary to diabetes. The patient is alert and has elected to put the DNR order in place at her own discretion. The patient's potassium level is now markedly elevated at 8 meq/L.
Which of the following is the most appropriate management of this patient?
a. Dialysis cannot be done because of the DNR order.
b. You can do the dialysis if the DNR is reversed for the procedure.
c. Go ahead with the dialysis; ignore the DNR order.
d. Give kayexalate until the DNR status is discussed with the family.

Medical Ethics for the Boards

Conrad Fischer 3rd Edition

Chapter 1, Problem 13

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Step 1

Step 1: Assess the patient's current medical condition, including the severity of renal failure and the critically elevated potassium level of 8 mEq/L, which poses a significant risk for life-threatening complications such as cardiac arrhythmias. Show more…

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You have a patient with severe muitiple sclerosis that is advanced and progressive who now develops renal failure secondary to diabetes. The patient is alert and has elected to put the DNR order in place at her own discretion. The patient's potassium level is now markedly elevated at 8 meq/L. Which of the following is the most appropriate management of this patient? a. Dialysis cannot be done because of the DNR order. b. You can do the dialysis if the DNR is reversed for the procedure. c. Go ahead with the dialysis; ignore the DNR order. d. Give kayexalate until the DNR status is discussed with the family.

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