Question

Chapter 11. Vitamins, Minerals and Herbs 59 Case Study A Georgia Reed, a 55-year-old woman is diagnow ah neumonia and dehydration. Her health history states that she has had no inte o intake for the last two days. Her physician has ordered an antibiotic for the pneumonia and 0.9% normal saline in 5 destrose with 30 mEq KCL liter at 125 ml/h 1. As a health care professional, which of these are obtained from Georgia would concern you in relation to the prescribed 50 mEq of KCL to be added to the IV fluids? She has not had any intake for two days . She states that she has a history of renal impairment. C. Her sister has diabetes D. She complains of severe thirst. 2. As a health care professional, you are aware that sodium and chloride are the principal minerals: A. Inside the body's cells B. In 5% dextrose and water (D5W) C. In the extracellular body fluid D. That are rarely found in a normal adult diet 3. You are concerned that Georgia has not eaten in the last two days. partially because you know a specific vitamin is likely depleted from her body because of its water solubility. What vitamin is this? A. Vitamin A B Vitamin C C. Vitamin E D. Vitamin K 4. While Georgia is in the hospital, the pharmacist will prepare the IV fluids as follows: A. Add the 30 mEq KCL to the IV bag after it is started by the nurse. B. Administer 30 mEq KCL IV push first and then flush with the DSNS. C. Thoroughly mix the 30 mEq KCL in a liter bag of DSNS and run at 125 ml/h. D. Run at least 125 cc of DSNS, push the 30 mEq KCL, and follow with DSNS at 125 ml/h. 5. The health care professional monitoring Georgia will be observing which of these complications in rela- tion to IV administration? A. Redness and heat around the infusion site B. Leg pain C. Increased urinary output D. Heartburn Case Study B Shelly Tucker, a 32-year-old art teacher, comes to the health fair to get the latest information on vitamins and antioxidants. Specifically, she would like to find out whether she should take vitamin and/or mineral supplements. 1. What general information should Shelley be given about taking supplements? A. The need for taking any vitamin or mineral supplements should be established by a physician. B. Most people need some type of vitamin or mineral supplement. C. Taking a vitamin or mineral supplement poses no health problem for most people. D. Vitamin and mineral supplements are a waste of money.

Answer 1

1. 30 meq of KCL is prescribed because she has not had any intake for two days. potassium is important element of intracellular fluid due to zero intake and severe dehydration, the patient may having hypokalemia. So, injection KCL is advice.

2. Sodium and chloride are the principal minerals of extracellular fluid. The concentration of sodium in the extracellular fluid is around 142 meq/L and the concentration of chloride is around 116meq/L

3. Vitamin C is likely to depleted. Vitamin C is a water-soluble vitamin, that may be depleted in Georgia body because of dehydration.

4. The pharmacist should thoroughly mixed the 30 meq of KCL in a litter bag of D5NS and run at 125 ml/hr. Because we can not give it as IV push, it will lead to cardiac arrest and if we add KCL after started then it may not be mixed properly. So, it's better you should through mix it and start.

5. Redness and heat around the iv site is the only option related to iv infusion, other options do not have any link with iv infusion. Redness and heat around the iv site is a warning sign for phlebitis, in this case, we have to resite the cannula.

CASE STUDY B

1. The need for taking any vitamin or mineral supplements should be established by a physician. Because there may be an adverse effect or hypervitaminosis. So, Shelley should contact physician before taking any vitamins or minerals.