*NURSING > QUESTIONS & ANSWERS > Chamberlain College of Nursing - NR 507Week 5 Case Study NR507: And Discussion Part 2 and Part 3. Gr (All)
Discussion Part One (graded) Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this t... ime. On admission her laboratory values show: Ms. Blake’s values Sodium (Na+) 156 mEq/L Potassium (K+) 4.0 mEq/L Chloride (Cl–) 115 mEq/L Arterial blood gases (ABGs) pH, 7.30; Pco2, 40; Po2, 70; HCO3– , 20 Normal values Sodium (Na+) 136-146 mEq/L Potassium (K+) 3.5-5.1 mEq/L Chloride (Cl–) 98-106 mEq/L Arterial blood gases (ABGs) pH 7.35-7.45 Pco2 35-45 mmHg Po2 80-100 mmHg HCO3– 22-28 mEq/L Discussion question part one: What type of water and solute imbalance does Ms. Blake have? Reference McLafferty, E., Johnstone, C., Hendry, C., & Farley, A. (2014). Fluid and electrolyte balance. Nursing Standard, 28(29), 42-49. Discussion Part Two (graded) Discussion questions part two: What symptoms would you expect to find in Ms. Blake? What would be the treatment? References Bhave, G., & Neilson, E. (2011). Body fluid dynamics: Back to the future. Journal of the American Society of Nephrology, 22(12), 2166-2181. Yang, T., Chang, J., Tseng, M., Wang, H., Niu, D., & Yang, L. (2009). Extreme hypernatremia combined with rhabdomyolysis and acute renal failure. Journal Chinese Medical Association, 72(10), 555-558. Discussion Part Three (graded) Discussion questions part three: What do her ABGs mean? Does she have a normal or an abnormal anion gap? Why? Reference American Thoracic Society. (2015). Interpretation of ABG’s. Retrieved from http://www.thoracic.org/professionals/clinical-resources/critical-care/clinical-education/abgs.php. Reference Mehta, A., Emmett, J., & Emmett, M. (2008).GOLD MARK: An anion gap mnemonic for the 21st century. The Lancet, 372(9642), 892. Reference Louisiana State University. (2006). Management of Diabetic Ketoacidosis. Retrieved from http://www.ccm.lsuhscshreveport.edu/Clinical/Disease/DKA.htm. [Show More]
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