Your Perfect Assignment is Just a Click Away

We Write Custom Academic Papers

100% Original, Plagiarism Free, Customized to your instructions!

glass
pen
clip
papers
heaphones

Nursing Care Fluid, Electrolytes

Nursing Care Fluid, Electrolytes

Nursing Care Fluid, Electrolytes

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?

Order Solution Now

Our Service Charter

1. Professional & Expert Writers: On Time Writers only hire the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.

2. Top Quality Papers: Our customers are always guaranteed papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.

3. Plagiarism-Free Papers: All papers provided by On Time Writers are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.

4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. On Time Writers is known for timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.

5. Affordable Prices: Our prices are fairly structured to fit all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.

6. 24/7 Customer Support: At On Time Writers, we have put in place a team of experts who answer all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.