Fluid, Electrolyte and Acid-Base Homeostasis:  Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to

Fluid, Electrolyte and Acid-Base Homeostasis: 
Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:

· Serum glucose 412 mg/dL

· Serum sodium (Na+) 156 mEq/L

· Serum potassium (K+) 5.6 mEq/L

· Serum chloride (Cl–) 115 mEq/L

· Arterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/L


Case Study Questions

1. Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she has?

2. Describe the signs and symptoms to the different types of water imbalance and described clinical manifestation she might exhibit with the potassium level she has.

3. In the specific case presented which would be the most appropriate treatment for Ms. Brown and why?

4. What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?

5. Based on your readings and your research define and describe Anion Gaps and its clinical significance.

Submission Instructions:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

· Please write in paragraph form, no bullet points

· Please do not use textbooks as reference only peer-reviewed scholarly articles from within 4 years time.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

COMPLETE QUESTIONS  Thumbnails/thumbnail.png 1) Codes 20900–20938 for grafts (or implants) are reported when __________ tissue (originating in

COMPLETE QUESTIONS  Thumbnails/thumbnail.png 1) Codes 20900–20938 for grafts (or implants) are reported when __________ tissue (originating in the patient’s body) is obtained through separate skin or fascial incisions. Responses allogenous allogenous rhytid rhytid osteogenesis osteogenesis autogenous autogenous 2) A patient suffered a traumatic complete amputation of the left forearm in

COMPLETE QUESTION BY FILLING IN THE BLANK Thumbnails/thumbnail.png 1) Sepsis due to E.

COMPLETE QUESTION BY FILLING IN THE BLANK Thumbnails/thumbnail.png 1) Sepsis due to E. coli. Responses A41.4 A41.50 A41.51 A41.9 2) Metastatic carcinoma from the lung. Responses D49.9, C80.1 D49.9, C34.90 C79.9, D49.1 C34.90, C79.9 3) ype 2 diabetes mellitus with diabetic macular edema and retinopathy, right eye, resolved following treatment. Responses

COMPLETE IN DETAIL Thumbnails/thumbnail.png 1) Opioid use, abuse, and dependence with intoxication and delirium FILL IN BLANK 2) Paranoid

COMPLETE IN DETAIL Thumbnails/thumbnail.png 1) Opioid use, abuse, and dependence with intoxication and delirium FILL IN BLANK 2) Paranoid schizophrenia FILL IN BLANK 3) Alcoholic delirium tremens FILL IN BLANK 4) Factitious disorder, imposed on self, with predominantly physical signs and symptoms FILL IN BLANK 5) Major depressive disorder, recurrent, with psychotic

  Past Experience I work on a peds Oncology hematology floor. Describe your

  Past Experience I work on a peds Oncology hematology floor. Describe your experience in the utilization of nursing research in your clinical practice.   Submission Instructions: · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic

PLEASE READ CAREFULLY ATTACHED DOCUEMTN FOR ALL INSTRUCTIONS AND REQUIREMENTS Advanced Practice Nursing: Clinical Decision-Making and Leadership

PLEASE READ CAREFULLY ATTACHED DOCUEMTN FOR ALL INSTRUCTIONS AND REQUIREMENTS Advanced Practice Nursing: Clinical Decision-Making and Leadership Essay Overview: This assignment invites you to explore the evolution of clinical decision-making as you transition from bedside nursing to advanced practice roles. In your essay, you will critically analyze and compare the

Module 1 Discussion   Foundation for Health Promotion For this Discussion, your

Module 1 Discussion   Foundation for Health Promotion For this Discussion, your instructor will assign you a case number. Case  Cases D.H. is a nurse administrator at a large primary practice. His duties include maintaining the nurses’ schedules to keep within the facility’s budget; overseeing the hiring and training of