Question

A 50-year-old present to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened. There are no known ill contacts at home. Her family history includes significant heart disease and prostate malignancy in her father. Social history is positive for smoking tobacco use at 30 pack years She quit smoking 2 years ago due to increasing shortness of breath. She denies all alcohol and illegal drug use. There are no known foods, drugs, or environmental allergies. Assessment Findings: Neurologic: Fatigue, generalized weakness Cardiovascular: blood pressure 160/88, HR 104 and irregular, peripheral pulse is weak Pulmonary: Difficulty breathing at rest, respiration 24 per minute and shallow, O2 sat 90% Additional findings: bilateral low extremity edema Significant laboratory results: Na 129 mEo/L K+ 4.9 mg/L Cl-88 mg/L BUN 38 mg/dL Arterial Blood Gas: pH = 7.5, Paco2= 27, HCO3= 21 1. Describe the patient's electrolyte status. Which electrolyte imbalance does the patient have? 2. What physical assessment findings support your analysis 3. Which laboratory results support your analys

which type of fluid will be most appropriate for this patient, and explain the rationale for the above fluid, what other labs would be indicated and why, what diagnostic tests would be indicated, what will be the plan of carewhile in the hospital, what other information would be important for the nurse to know in order to provide adequate care, what is the most likely etiology of the imbalance, which lab results support your analysis

Answer 1

1. the patient is having hyponatremia

2.. on assessment patient is having generalized weakness

3. serum electrolyte level.