Reference no: EM133208133 , Length: 2 pages.
Assignment: Science
Case Study I
Chapter 13 Concepts of Fluid and Electrolyte Balance
Ms. Floyd, a 96-year-old woman, has been vomiting for 24 hours and is unable to eat or drink. She arrives on the unit after being admitted for dehydration. Ms. Floyd has a history of constipation and hypertension. She takes psyllium, HCTZ, and metoprolol on a daily basis.
Task
1. What factors may have predisposed Ms. Floyd to dehydration?
2. What types of fluids should be used to treat Mrs. Floyd's condition?
3. What concerns should the nurse have about the condition of this patient?
4. What clinical signs and symptoms would indicate that dehydration has resolved?
5. When Mrs. Floyd is being discharged home, with whom would the nurse collaborate to assure that care is continued?
Case Study II
Chapter 14 Concepts of Acid-Base Balance
Rau Kuohui, a 50-year-old female, was shot in the right side of her chest. She is currently in the progressive care unit. Her arterial blood gases are as follows:
1. pH 7.30
2. PaO2 88 mm Hg
3. PaCO2 50 mm Hg
4. Bicarbonate 26 mEq/L
5. Lactate 5 mg/dL
Task
1. Does Ms. Kuohui have an acid-base imbalance? If so, what type of imbalance?
2. What likely caused Ms. Kuohui to have this condition?
3. Ms. Kuohui's condition continues to deteriorate. What actions should be taken to restore Ms. Kuohui's acid-base balance?
4. With which member of the interprofessional health care team should the nurse collaborate to address Ms. Kuohui's gas exchange needs?