Water, Water, Everywhere, But Please Don't Give IVProblem: The treatment of severe hypernatremia can bechallenging, especially in patients with preexisting conditions thatmay seem to limit therapeutic options. Such a situation recentlyresulted in an ill-conceived decision to give sterile water forinjection IV to an elderly patient who had been admitted to an ICUwith pneumonia and severe hypernatremia. The physician did notwant the patient to receive any further infusions containingsodium. But the patient also was severely hyperglycemic. Thephysician's concern with giving sodium or dextrose to a patientwith high blood sugar led to an order to change the patient's IV to"free water" at 100 mL/hr."Free water" refers to water not associated with organic orinorganic ions. Because hypernatremia usually results from adeficit of "free water," it's likely that the physician intended toreplace this loss when he wrote the order. Water can be replacedorally, however, it should never be given IV without additives tonormalize tonicity, or hemolysis may occur.NameALERTDEJust before writing the order, the physician had contacted a pharmacist to ask if "large bags of sterile waterfor injection" were available. A pharmacy intern retrieved a bag from the sterile compounding area, placedthe label on the back of the bag, and dispensed it to the ICU.The nurse began the infusion without question because she was aware of the patient's hypernatremia andoverheard the physician ask the pharmacist if bags of sterile water were available. She failed to see a redstatement on the bag stating "Pharmacy Bulk Package, Not For Direct Infusion" because the pharmacy labelwas on the opposite side of the bag. Another nurse noticed the statement later and the infusion was stopped,but not before 550 mL had infused. The patient experienced a hemolytic reaction, acute renal failure, anddied. Answer the questions in complete sentences. Answers should be short (1-3 sentences).1. Hypernatremia means that there is an abnormally high concentration of salt in the blood. The word hypermeans "more". What does the word natremia refer to?2. Hypernatremia is a condition that can occur in anyone, especially athletes. It's also a situation that canoccur where people do not have drinking water. Normally it does not require hospitalization and can beresolved by doing a simple thing we all do every day. What can correct this condition in a normal, healthyperson?3. Glycemia refers to the amount of glucose in a person's blood. What does it mean that the patient washyperglycemic? Why did this affect the doctor's decision to give the patient a normal IV?

Solution is a fluid which is formed by the combination of both solute and solvent So, Solution=…

Answer the questions in complete sentences. Answers should be short (1-3 sentences). 1. Hypernatremia means that there is an abnormally high concentration of salt in the blood. The word hyper means "more". What does the word natremia refer to? 2. Hypernatremia is a condition that can occur in anyone, especially athletes. It's also a situation that can occur where people do not have drinking water. Normally it does not require hospitalization and can be resolved by doing a simple thing we all do every day. What can correct this condition in a normal, healthy person? 3. Glycemia refers to the amount of glucose in a person's blood. What does it mean that the patient was hyperglycemic? Why did this affect the doctor's decision to give the patient a normal IV?

Answer the questions in complete sentences. Answers should be short (1-3 sentences). 1. Hypernatremia means that there is an abnormally high concentration of salt in the blood. The word hyper means "more". What does the word natremia refer to? 2. Hypernatremia is a condition that can occur in anyone, especially athletes. It's also a situation that can occur where people do not have drinking water. Normally it does not require hospitalization and can be resolved by doing a simple thing we all do every day. What can correct this condition in a normal, healthy person? 3. Glycemia refers to the amount of glucose in a person's blood. What does it mean that the patient was hyperglycemic? Why did this affect the doctor's decision to give the patient a normal IV?

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter6: Icd-10-cm Coding

Section: Chapter Questions

Problem 203R

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