Question

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 high temperature and diaphoresis. She has 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 Il) 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 might you observe with this type of imbalance? e) When testing Mrs. Unger's urine, what would you suspect her specific gravity to be? d) e) What treatment would be most appropriate for this Patient?

Answer 1

II)a) The normal sodium level is 135 mEq/L and normal potassium level is 3.5 - 5.0 mEq/L.

The patient have sodium level of 129mEq/L which indicates a condition known as hyponattemia.

The patient have hyponatremia. It is a wlectrolyte imbalance characterised by low sodium level.

b) The normal range for sodium is 135mEq/L. Sodium level below 13Eq/L is considered as hyponatremia.

c) Hyponatremia is characterised by low sodium level. Symptoms include mental confusion, headache, nausea, muscle weakness, cramps, fatigue and lethargy, irritability.

Severe symptoms include seizure, respiratory arrest, coma and death.

d) specific gravity is 1.003 or less

e) treatment includes water restriction, oral rehydration therapy, saline solution, diuretics.