Fluid & Electrolyte Case Study
Mrs. Malone, age 83, lives in an apartment with her cat. She has hypertension, hyperlipidemia, and chronic left-sided heart failure, which are managed with the diuretic furosemide, KCl, several other medications, and dietary Na+ restriction. Mrs. Malone volunteers at a nearby elementary school, where earlier in the week several students were sent home sick after vomiting. Mrs. Malone developed vomiting and diarrhea. Although the vomiting stopped, the diarrhea persisted.
Why did the NP instruct Mrs. Malone to drink orange juice? Why is it important that Mrs. Malone drink orange juice and resume taking her oral KCl right away?
Mrs. Malone had vomiting and diarrhea that can lead to hypokalemia. NP instructed Mrs. Malone to drink orange juice as Orange juice is a high potassium fruit juice which will help to restore her lost potassium.
Mrs. Malone should drink orange juice and resume taking her oral KCl right away as KCl may cause stomach irritation or stomach upset if taken alone. So it should be taken along with orange juice.
Fluid & Electrolyte Case Study Mrs. Malone, age 83, lives in an apartment with her cat....
Mrs. Malone, age 83, lives in an apartment with her cat. She has hypertension, hyperlipidemia, and chronic left-sided heart failure, which are managed with the diuretic furosemide, KCl, several other medications, and dietary Na+ restriction. Mrs. Malone volunteers at a nearby elementary school, where earlier in the week several students were sent home sick after vomiting. Mrs. Malone developed vomiting and diarrhea. Although the vomiting stopped, the diarrhea persisted. She drank more water than usual, ate rice and dry toast,...