Question

hi need help with the following questions

1. Mr. Jones visits his physician and complains of a productive (wet) cough, shortness of breath, and swelling in his legs and feet. He is diagnosed with congestive heart failure, which means his heart is not effectively pumping blood. a. What is the name for the fluid imbalance that is causing his symptoms? b. Does this imbalance occur due to an increase in capillary hydrostatic pressure or due to an increase in blood colloid osmotic pressure? c. Explain why a diet high in sodium might exacerbate his symptoms? 2. Mr. Jones is given a diuretic to treat his fluid imbalance. This diuretic blocks the action of aldosterone. a. Considering the action of aldosterone, what dangerous electrolyte imbalance could potentially result from taking this drug?

Answer 1

1. A.fluid imbalance of Mr .Jones if -Hypokalemia.

B.Hypokalemia occurs due to increase in blood colloid osmotic pressure (shift of pottasium from intracellular to extra cellular)

C.Yes .increase sodium level further decrease pottasium level.it worsen the condition of jones

2. Yes.If jones treat with diuretic (spiranolactone) it affect the action of aldosteron..Of aldosteron decrease it cause Hyper Natremi.

3. A.Based on his PH level jones was in acidosis.

B.Based on his Paco2 level jones having respiratory acidosis

C.His Hco3 levels uncompensated

4. A.Repeated Vomiting causes metabolic acidosis.

B.Excess of vomiting leads to decrease fluid level decrease so it leads to acidosis .