Mr. Johnson, 68 years old, has been vomiting and has had diarrhea for 2 days. He complains of being dizzy. The nurse assesses his physiologic status and notes that his muscles are weak, his abdomen is distended, and bowel sounds are absent. I) a) What electrolyte imbalance do you suspect? b) What is the normal range for this electrolyte? e) What other symptoms can this Patient have exhibited with this type of electrolyte imbalance? d) What treatment would be most appropriate for this Patient? Mrs. Unger has a high temperature and diaphoresis. She has been nauseated and has taken only ginger ale for the last several days. Her lab tests revealed a Sodium level of 129 mEq/L and a Potassium level of 3.7 mEq/L. II) a) What type of clectrolyte imbalance do you suspeet? b) What is the normal range for this electrolyte? What are some other clinical signs and symptoms might you observe with this type of imbalance? d) When testing Mrs. Unger's urine, what would you suspect her specific gravity to be? e) What treatment would be most appropriate for this Patient?

Anatomy & Physiology
1st Edition
ISBN:9781938168130
Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Publisher:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Chapter26: Fluid, Electrolyte, And Acid-base Balance
Section: Chapter Questions
Problem 18RQ: Abnormally increased blood levels of sodium are termed ________. hyperkalemia hyperchloremia...
icon
Related questions
icon
Concept explainers
Question
FLUID AND ELECTROLYTES
CASE STUDIES
years old, has been vomiting and has had diarrhea for 2 days. He
complains of being dizzy. The nurse assesses his physiologic status and notes that his
muscles are weak, his abdomen is distended, and bowel sounds are absent.
I)
Mr. Johnson,
a) What electrolyte imbalance do you suspect?
b) What is the normal range for this electrolyte?
c) What other symptoms can this Patient have exhibited with this type of
electrolyte imbalance?
d) What treatment would be most appropriate for this Patient?
II)
Mrs. Unger has a high temperature and diaphoresis. She has been nauseated and has
taken only ginger ale for the last several days. Her lab tests revealed a Sodium level of
129 mEq/L and a Potassium level of 3.7 mEq/L.
a) What type of electrolyte imbalance do you suspect?
b) What is the normal range for this electrolyte?
c)
What are some other clinical signs and symptoms might you observe with this type of
imbalance?
d)
When testing Mrs. Unger's urine, what would you suspecet her specific gravity to be?
e) What treatment would be most appropriate for this Patient?
III)
A Patient has just received an administration of an intravenous potassium too rapidly.
a) What signs and symptoms would you assess for?
b) What lab values would you suspect for this Patient?
c) What treatment would be prescribed for this Patient?
IV)
An elderly Patient has just been admitted into the Emergency Room with symptoms
of confusion, muscle tremors, and a red, swollen tongue. When taking his history, it is
revealed he had been discharged from the hospital 2 days ago. He has been on IV
therapy for a stomach virus but could not keep down fluids after he was discharged.
a) What electrolyte imbalance do you suspect for this Patient?
b) What other signs and symptoms might you need to assess for?
c) What type of treatment would be appropriate for this Patient?
Transcribed Image Text:FLUID AND ELECTROLYTES CASE STUDIES years old, has been vomiting and has had diarrhea for 2 days. He complains of being dizzy. The nurse assesses his physiologic status and notes that his muscles are weak, his abdomen is distended, and bowel sounds are absent. I) Mr. Johnson, a) What electrolyte imbalance do you suspect? b) What is the normal range for this electrolyte? c) What other symptoms can this Patient have exhibited with this type of electrolyte imbalance? d) What treatment would be most appropriate for this Patient? II) Mrs. Unger has a high temperature and diaphoresis. She has been nauseated and has taken only ginger ale for the last several days. Her lab tests revealed a Sodium level of 129 mEq/L and a Potassium level of 3.7 mEq/L. a) What type of electrolyte imbalance do you suspect? b) What is the normal range for this electrolyte? c) What are some other clinical signs and symptoms might you observe with this type of imbalance? d) When testing Mrs. Unger's urine, what would you suspecet her specific gravity to be? e) What treatment would be most appropriate for this Patient? III) A Patient has just received an administration of an intravenous potassium too rapidly. a) What signs and symptoms would you assess for? b) What lab values would you suspect for this Patient? c) What treatment would be prescribed for this Patient? IV) An elderly Patient has just been admitted into the Emergency Room with symptoms of confusion, muscle tremors, and a red, swollen tongue. When taking his history, it is revealed he had been discharged from the hospital 2 days ago. He has been on IV therapy for a stomach virus but could not keep down fluids after he was discharged. a) What electrolyte imbalance do you suspect for this Patient? b) What other signs and symptoms might you need to assess for? c) What type of treatment would be appropriate for this Patient?
Expert Solution
trending now

Trending now

This is a popular solution!

steps

Step by step

Solved in 2 steps

Blurred answer
Knowledge Booster
Organ system
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.
Recommended textbooks for you
Anatomy & Physiology
Anatomy & Physiology
Biology
ISBN:
9781938168130
Author:
Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Publisher:
OpenStax College