Electrolyte Imbalance
Patient Profile
E.G. is a 73-year-old woman whose daughter brings her to see the health care provider because she has had a case of the “stomach flu,” with vomiting and diarrhea for the past three to four days and is now experiencing occasional light-headedness and dizziness. Her past medical history includes hypertension, hypercholesterolemia, and mild heart failure. She is taking:
Digoxin (Lanoxin) 0.125 mg po daily.
Captopril (Capoten) 25 mg po BID.
Furosemide (Lasix) 40 mg po daily.
Potassium chloride (K-tab) 20 mEq po daily.
Simvastatin (Zocor) 20 mg po at bedtime.
Subjective Data
Has been following a low sodium diet
States her abdomen feels bloated and she has been constipated since the onset of the “flu”
Has been taking her medications except for the potassium chloride pill because it upsets her stomach.
Occasionally takes an extra “water pill” when her ankles are swollen
Objective Data
Physical Examination
Temperature 98.2° F, pulse 88, respirations 20, BP 138/86
Lungs clear to auscultation, breathing regular and unlabored
+1 edema bilaterally in ankles
Muscle strength in upper extremities normal and equal and in lower extremities weak
Sensation to all extremities normal
Abdomen distended with hypoactive bowel sounds
Diagnostic Studies
Lab values
Sodium 139.0 mEq/L
Potassium 3.0 mEq/L
HCO3- 25.4 mEq/L
Chloride 99.5 mEq/L
Discussion Questions:
1. What is a possible pathophysiologic cause of E.G.’s muscle weakness and dizziness? What other symptom does E.G. have that may be related to this problem?
2. What factors contributed to the development of this electrolyte imbalance?
3. What should you be on an alert for in a patient who is on furosemide and digoxin and why?
4. What additional signs and symptoms should you assess E.G. for?
5. What diagnostic test is indicated and why?
6. What instructions should you give E.G. regarding the signs and symptoms of this electrolyte imbalance and how to prevent it?
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Our Services
My Research Essay is the best place to go if you need homework help or an essay written. If you're seeking for low-cost, high-quality, and non-plagiarized papers, click the button below to get started!
ACCA
The Association of Chartered Certified Accountants offers critical assignments and tests aimed at testing the professional and technical knowledge of an individual. The tests require the prospective accountants to be exhibit expertise and skills in this area of practice. Do you have these skills that promote you to succeeding in the ACCA homework and tests? The answer of most students to this question is NO! Our company ensures that it provides guidance that builds you to the desired levels of professional accountants. This is achieved by providing tutoring services and homework help from our professional and qualified trainers and assistants.
Physics
A Level Physics Help
Do you have difficulties completing our A-Level physics assignments and coursework requirements? Do you need assistance from professionals to help you complete this coursework requirement? You have reached your destination. Our company is committed to providing you with assistance in completing your A-level assignments. You just need to contact us, and we will connect you with our qualified and graduate physics assistants. We guarantee quality and good grades in your physics assignments and coursework.
Ks1
Ks1 Tutors
Key Stage 1 may have challenges grasping all the information taught within the curriculum and class setting. This necessitates the acquisition of tutoring. Our company ensures that the learners are provided with these services in the comfort of their homes. Our company, through qualified specialists, ensures that KS1 students are provided with quality information and revision opportunities that improve their academic performance. Hire our specialists today for KS1 tutoring, and you will not regret the commitment.
Writing
Writing Service
There are various skills needed to ensure that you can prepare quality academic papers. Analytical skills are some of the technical requirements of any paper writing process. You need to understand the concepts and interpret information effectively to attain the purpose. Do you have questions on how and where to start your paper writing? Our collection of professional writers is the answer to all your concerns. Our writers provide quality papers free from plagiarism and grammatical errors, ensuring that students can acquire satisfactory results.
Math
Math Homework Help
Mathematics is a diverse area of study that, without sufficient specialization, can create challenges to understand and translate the concepts into academic grades. Our company boasts of its highly diverse and specialized assistants who can help you address the challenges. Do you have difficulties in Geometry, Algebra, or calculus? These are just examples of the fields of mathematics that are covered by our group of qualified and professional writers. Get our help today for quality outcomes and results.
Paper Writing
Online Paper Writing
Do you need customized papers done for you online? We have the solution to these needs. Our company has specialized in preparing diverse types of papers that are all aimed at meeting your needs. Our writers are all holders of Master's and Ph.D. degrees; hence have the knowledge and skills required to complete your papers within the required time. Reach us through our website and submit your instructions for the completion of your paper. We will complete plagiarism-free and properly constructed papers that will be submitted on the same day of acquisition.