CASE STUDY – FLUID & ELECTROLYTES

Question Answered step-by-step CASE STUDY – FLUID & ELECTROLYTESMrs. A, a 73-year old female client, with a 3-day history of intermittent abdominal pain,abdominal bloating, and nausea and vomiting, came to the emergency department.Past Medical History (PMH) includes an abdominal hysterectomy 15 years ago and an inguinalhernia repair 2 years ago. She has no history of coronary artery disease, diabetes or pulmonarydisease. She takes only ibuprofen occasionally for mild arthritis. She has no known drugallergies (NKDA).Vital signs are: Blood Pressure 134/84, Pulse 84 beats/minute and regular, Respirations20/minute and Temperature (36.2 ºC). An IV of D5 ½ NS with 20 mEq KCl at 100 mL/hour isstarted Nasal O2 at 2 L is also ordered.You look up her latest laboratory test values and compare them to the admission data. Na+from 136 to 132 mEq/L, K has changed from 3.7 to 2.8 mEq/L, Cl from 108 to 97 mEq/L, G from126 to 79, HCO3 from 25 to 31 mEq/L, BUN from 19 to 31 mg/dL.Urine specific gravity is 1.0451. What are some risk factors in this patient for developing fluid and electrolyte imbalances?2. What lab values are of concern to you and why3. Prepare 2 nursing diagnoses with corresponding nursing management for Mrs. A Health Science Science Nursing NURSING 344 Share QuestionEmailCopy link Comments (0)