Question

A 36-year-old client was admitted with gastroenteritis. She has been vomiting and having severe diarrhea for 2 days. She is very weak. The current laboratory results are Na+ 128 mEq/L, K+ 3.0 mEq/L, CI-90 mEq/L. The physician orders IV of 0.9% normal saline solution at 100 mL/hr, NPO and I & O. 1. Are the lab results normal or abnormal? If so, which ones? 2. What treatment and/or medication(s), if any, would be ordered? 3. What complication(s) if any is likely to develop if the symptoms persist? (Discuss one) 4. What education would you provide to the client to prevent this issue in the future?

Hello, this is medical surgical nursing. please I want it typed. Thank you.

Answer 1

1. All lab values are abnormal, Na+, K + and cl are decrease.

2.

For hyponatremia

• Normal saline infusion
• Salt capsules
• Dietary management

For hypokalemia ( it is less variable only .5 mg/dl)

• Diet rich in potassium are bananas, fruits etc

For hypochloremia

• NS infusion
• Diet maintenance

3. Complication of hyponatremia

• Cerebral edema
• Herniation of brain
• Coma
• Death
• Hypotension
• Seizure
• Cardio pulmonary arrest

4. Health education

• Diet maintenance is important
• Avoid stimulants or irritants foods
• Avoid alcoholism or smoking
• Follow healthy lifestyle
• Diet should include green leafy vegetables, food rich in electrolytes
• Avoid dehydration