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4. What has Frances' advanced age placed her at risk for fluid imbalance? 5. Discuss the role of aldosterone in the regulation of fluid and electrolyte balance. How will changes in aldosterone affect Frances' fluid and electrolyte imbalances? 6. What are the primary daily assessments that the nurse will complete?

4. What has Frances' advanced age placed her at risk for fluid imbalance? 5. Discuss the role of aldosterone in the regulation of fluid and electrolyte balance. How will changes in aldosterone affect Frances' fluid and electrolyte imbalances? 6. What are the primary daily assessments that the nurse will complete?

Curren'S Math For Meds: Dosages & Sol
Curren'S Math For Meds: Dosages & Sol
11th Edition
ISBN:9781305143531
Author:CURREN
Publisher:CURREN
Chapter23: Pediatric Intravenous Medications
Section: Chapter Questions
Problem 30SST
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4. What has Frances' advanced age placed her at risk for fluid imbalance? 5. Discuss the role of aldosterone in the regulation of fluid and electrolyte balance. How will changes in aldosterone affect Frances' fluid and electrolyte imbalances? 6. What are the primary daily assessments that the nurse will complete?
Fluid and Electrolytes Case Study Patient Profile: Frances, a 78 years old that lives alone, is admitted to the hospital because of weakness and confusion. She has a history atrial fibrillation and chronic heart failure (HF). On admission it is noted that her at home medications include Digoxin (Lanoxin), Furosemide (Lasix), Metoprolol, Diltiazem and Levothyroxine. Objective Data: Neurologic: Confused; slow to questioning; generalized weakness; states she has trouble focusing his vision- people look green with halo's Cardiovascular: BP 100/59; HR 55 irregular; peripheral pulses weak; ECG indicates Atrial fibrillation with controlled ventricular response Pulmonary: Respirations at 12/min; shallow Skin: decreased turgor; dry mucous membranes Laboratory Results: Digoxin level Electrolytes ● • Mag+ CI- BUN CBC Na+ K+ ABG ● RBC ● WBC ● Creatinine Glucose CO2 Hemoglobin Hematocrit Platelets pH PaO2 PaCO2 HCO3- 1.0 ng/ml 134 mEq/L 2.5 mEq/L 1.2 mEq/L 88 mEq/L 42 mg/dL 0.9 mg/dL 122 mg/dL (random) 31 mEq/L 5 x 106uL 7,000/uL 14 g/dL 50% 250,000/uL 1 7.55 88 mm/Hg 45 mm/Hg 42 mEq/L Adapted from: Maltas, J.L. (2011). Study guide for medical-surgical nursing: Assessment and management of clinical problems (8.ed.). Omaha, NE: Elsevier Mosby.
Transcribed Image Text:Fluid and Electrolytes Case Study Patient Profile: Frances, a 78 years old that lives alone, is admitted to the hospital because of weakness and confusion. She has a history atrial fibrillation and chronic heart failure (HF). On admission it is noted that her at home medications include Digoxin (Lanoxin), Furosemide (Lasix), Metoprolol, Diltiazem and Levothyroxine. Objective Data: Neurologic: Confused; slow to questioning; generalized weakness; states she has trouble focusing his vision- people look green with halo's Cardiovascular: BP 100/59; HR 55 irregular; peripheral pulses weak; ECG indicates Atrial fibrillation with controlled ventricular response Pulmonary: Respirations at 12/min; shallow Skin: decreased turgor; dry mucous membranes Laboratory Results: Digoxin level Electrolytes ● • Mag+ CI- BUN CBC Na+ K+ ABG ● RBC ● WBC ● Creatinine Glucose CO2 Hemoglobin Hematocrit Platelets pH PaO2 PaCO2 HCO3- 1.0 ng/ml 134 mEq/L 2.5 mEq/L 1.2 mEq/L 88 mEq/L 42 mg/dL 0.9 mg/dL 122 mg/dL (random) 31 mEq/L 5 x 106uL 7,000/uL 14 g/dL 50% 250,000/uL 1 7.55 88 mm/Hg 45 mm/Hg 42 mEq/L Adapted from: Maltas, J.L. (2011). Study guide for medical-surgical nursing: Assessment and management of clinical problems (8.ed.). Omaha, NE: Elsevier Mosby.
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