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Category > Health & Medical Posted 20 Sep 2017 My Price 9.00

What is the Priority Nursing Diagnosis for this patient?

I need help doing my case studies.

Case Study #2, Fluid and Electrolyte and Acid–Base Imbalances

Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The nurse also notes the patient has dry mucous membranes and tenting of skin. The physician orders an IV to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas.

 

The following results are returned from the laboratory:

 

Sodium (Na+)       150

Potassium (K+)     5.5

Chloride (Cl¯)       110

BUN                    42

Creatinine            0.8

Glucose               86

pH                       7.32

PaCO2                  35

HCO3¯                 20

PaO2                    90

O2 Sat                  98%

 

 

  • What is your interpretation of this arterial blood gas sample?

 

  • Explain the high potassium in this patient (Review history and correlate those symptoms to why his potassium is high).

 

Explain why the physician ordered 0.45% normal saline.

 

What other orders might you expect from the provider?

 

  • What is the Priority Nursing Diagnosis for this patient?

Answers

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Status NEW Posted 20 Sep 2017 02:09 PM My Price 9.00

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