*NURSING > CASE STUDY > PNP401_W2023_Case Study 1_Fluid, Electrolyte, Acid-Base Imbalance. (All)
PNP401_W2023_Case Study 1_Fluid, Electrolyte, Acid-Base Imbalance.-Mrs. A is a 46-year-old female that presents to the ER with complaints of vomiting and diarrhea for 4 days. She has been unable to ea... t anything during that time. Her usual weight is 130 lbs. On admission, her weight is 121 lbs. She reports abdominal cramping, pins and needle sensations in her fingers and toes, muscle weakness, fatigue, and confusion. Assessment shows she has dry, cracked lips and poor skin turgor. Her blood pressure is 100/ 70 mm Hg, pulse 102 bpm, and respiratory rate 20. Her hematocrit level is 0.75 L/L. 1. What signs and symptoms suggest Mrs. A is hypovolemic? (3 marks, each/1 mark) Signs & symptoms suggesting Mrs. A is hypovolemic include: 1) She reports muscle weakness, fatigue, and confusion (Also experienced weight loss [ from 130 to 121 lbs.]). 2) A Low BP of110/70mmHg, coupled with an increased Heart rate of 102 bpm. As well as 3) She has dry, cracked lips and poor skin turgor. 2. What type of electrolyte imbalance(s) do you suspect? (2 marks, each/1 mark) [Show More]
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