Question

fluid and electrolytes case studies Mr.johnson

uita FLUID AND ELECTROLYTES CASE STUDIES 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. D Mr. Johnson, 68 years old, has been vomiting and has had diarrhea for a), what electrolyte Imbalance do you suspect? Calidu a b) What is the normal tange for this electrolyte? 7.35-745 What other symptoms can this Patient have exhibited with this type of clectrolyte imbalance? c) Uingru butout a onstig darthaai Sweatir of hic 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? What are some other clinical signs and symptoms this type of imbalance?

Answer 1

11a Hyponatraemia.

b 135-145mEq/L

c Clinical manifestations are

• Irritability
• Apprehension
• Confusion
• dizziness
• personality changes.
• tremors
• seizures
• coma
• dry mucus membranes.
• postural hypotension.
• cold and clammy skin

d This patient might have a urine specific gravity less than 1.010.This is because during hyponatraemia.Losses of sodium -rich body fluids from the GI tract ,kidney or skin indirectly result in hyponatraemia.

e Fluid restriction is all that is needed to treat the problem.if severe symptoms develop ,small amounts of IV hypertonic saline solution are given to restore the normal serum sodium level while the body is returning to normal water balance..Treatment of hyponatraemia associated with abnormal fluid losses include fluid replacement with sodium-containing foods.