Homework Answers
a). Hypernatremia
Hypernatremia is the elevated sodium occurring with water loss or sodium gain .In hypernatremia serum sodium level of more than 145 mmol/L.Severe symptoms occur when levels are above 160 mmol/L.
b).Signs and symptoms to be assessed
- Thirst
- Lethargy
- Agitation
- Changes in sensoruim
- Seizure
- Coma
- Decreased fluid intake will result in LOC so assess level of conciousness
c).Treatment
- Treat the underlying cause
- Assess the changes in mental status
- Iv solution of 5% dextrose in water or hypotonic saline solution
- Administration of diuretics
- Maintain Intake output chart& monitor daily weight
- Monitor foods &medication for Na+ content
- Monitor serum Na+ & urine specific gravity
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an
elderly patient has just been admitted into the ER with symptoms of
confusion, muscle tremors, and 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
IV) An elderly Patient has just been admitted into the Emergency Room with symptoms revealed he had been discharged from the hospital 2...
lctrolytes, Acids and Bases FLUID AND VLECTROLYTES CASE STUDIES Mr. Johnson, 68 years old, has been vomiting and has had diarhes tok 2 da status and notes that his museles are weak, his abdomen is disterded for ologic bowel sounds are absent. a) What electrolyte imbalance do you suspect? b) What is the normal range for this electrolyte? and c) What other symptoms can this Patient have exhiübited with this type of electrolyte imbalance? d) What treatment would be most...
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A patient has just been admitted to the emergency room around 9
pm. The patient was disoriented, had trouble speaking, and was
suffering from nausea and vomiting. She was also hyperventilating,
i.e. over breathing. The patient accidentally took an entire bottle
of aspirin, which contained 250 tablets, around 7 pm that evening.
Blood from the patient is analysed and the analyses shown in Table
1. The patient is experiencing mild respiratory alkalosis.
In the emergency room, the patient is given...
Case Study A patient has just been admitted to the emergency room around 9 pm. The patient was disoriented, had trouble speaking, and was suffering from nausea and vomiting. She was also hyperventilating, ie. over breathing. The patient accidentally took an entire bottle of aspirin, which contained 250 tablets, around 7 pm that evening. Blood from the patient is analysed and the analyses shown in Table . The patient is experiencing mild respiratory alkalosis. Table 1: Arterial blood gas concentration...
ita ( t FLUID AND ELECTROLYTES CASE STUDIES D) 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 a) What electrolyte imbalance do you su What other symptoms can electrolyte im balance? c) Hallue rgt イhgl. fever, fatique, ter ot cordide function uSing E Mrs. Unger has...
A patient comes to the emergency room complaining of a very rapid heart rate and sweating. She states, "I was getting ready to do a presentation for my company, and all of a sudden I started to feel this way. I really don't like to speak in public, and I get really nervous before I do."The patient's heart rate and respiratory rate are elevated. The patient's hands are cool and clammy. Further evaluation reveals that the patient is experiencing an...
Instructions A 79 year old female patient presents to the Emergency Department with confusion, dehydration, and painful urination. The physician gives a diagnosis of urinary tract infection (UTI). The patient has NKDA and a history of COPD, atrial fibrillation, and shingles. She is given IV fluids to treat the dehydration, 1 gram of Rocephin® IVPB and discharged with a prescription for penicillin drug therapy to treat the UTI. Medication history is as follows: 1. amoxicillin 250mg PO qid x 7...
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