Case Study Fluid and Electrolyte Imbalanc an S.S., a 63-yr-old white woman with acute lymphocytic leukemia, has been rec
Posted: Wed Apr 20, 2022 8:49 am
- Case Study Fluid And Electrolyte Imbalanc An S S A 63 Yr Old White Woman With Acute Lymphocytic Leukemia Has Been Rec 1 (41.06 KiB) Viewed 41 times
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Subjective Data Objective Data 1. - Heart rate 110 beats/min, pulse thread - Reports lethargy, weakness, dizziness, and dry mouth 2. - BP 100/65 3. - Weight loss of 5 lb since she received her chemotherapy treatment 5 days ago 4. al - States she has been too nauseated to eat or drink anything for 2 days - Dry oral mucous membranes
Discussion Questions 1. Based on her manifestations, what fluid imbalance does S.S. have? 2. What additional assessment data should you obtain? 3. What are her risk factors for fluid and electrolyte imbalances? 4. You draw blood for a serum chemistry evaluation. What electrolyte imbalances are likely and why? 5. S.S. is at risk for which acid-base imbalance? Describe the changes that would occur in S.Sts ABGs with this acid-base imbalance. How would the body compensate? at nsic for metabolic acidosis
Discussion Questions 6. Priority Decision: What are the priority nursing interventions for S.S.? arn WH un 110 7. Collaboration: Who should be the primary members of the interprofessional team in caring for S.S.? What is the interprofessional team's priority at this time for S.S.? 8. The provider orders dextrose 5% in 0.45% saline to infuse at 100 mL/hr. int 8. What type of solution is this, and how will it help S.S.'s fluid imbalance?
Discussion Questions a 9. Evidence-Based Practice: S.S. has a double-lumen PICC in her left arm. One lumen is connected to the IV infusion; the other is unused. What is the recommended practice for maintaining the patency of the unused lumen? 110. Quality Improvement: What outcomes will indicate that interprofessional care was effective?