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Problem
A patient is being admitted to you on Med/Surg. The 65-year-old patient arrived by EMS after the daughter found Mr. Vela had fallen down in his bedroom. Mr. Vela's past medical history includes Diabetes Mellitus Type 2, Renal Failure stage 3, and Migraine headaches. Mr. Vela is a very active individual, eats well and recently joined a health group. His daughter lets you know he has been doing a water intake challenge with his health group. So, she assumes his BP was probably normal and cannot figure out why he fell down.
Upon admission Mr. Vela CBC and BMP are as follows:
Sodium 125Potassium 3.5Chloride 100Calcium 9.8BUN 21Co2 24Creatinine 1.5 Glucose 88
A. In the case of Mr. Vela where is the osmolality higher? ICF or ECF?B. What might happen with our cells in this case?C. Which type of cells may have difficulty in this environment?D. Why do you think Mr. Vela fell down?
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