Answered: 1 Based on her manitestations, wiat…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Transcribed Image Text:CASE STUDY Fluid and Electrolyte Imbalance eessolon ldest 1 Based on her manifestations, wiat fiuid inbalence does S.S. hava? 2 What additional assessinent deis should you obraln? 3 What are her risk factois lor iluid end electrolyte imbalances? 4. You draw blood for a serum chenutry valuation. What olacirolyte imbalances are likely and why 5. SS. is at risk for which acıd-base imbalance? Describe the changes that would occur in S.S's ABGS with this acid-base imbalance How would the body compensate? 6. Priority Decision:What are the priority nursing interventions for S S.? 7. Collaboration: Who should be the primary members of thhe inter- professional team in canng tor S.S.? What is the interprotessional 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 What type of solution is this, and how will it help S S's fluid imbalance? 9. Evidence-Based Practice:SS 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? 10. Quality Improvement: What outcomes will indicate that interpro fessional care was effective? Patient Profile S.S., a 63-yr-old white woman with acute lympho- cytic leukemia, has been recerving chemothorapy on an outpatient basıs She completed her third treatment 5 days ago and has had nausea and vom iting for 2 days despite using ondansetran (Zofran) SS.s daughter brings her to the hospital, where she is admitted to the medical unit. As the admitting nurse, you perform a thorough assessment Kewin Peterson Photodsc/Think- Stock ) Subjective Data Reports lethargy, weakness, dizziness, and dry mouth Stares she has been too nauseated to eat or drink anything for 2 days Objective Data • Heat rete 110 beats/min, pulse thready * BP 10065 Nenght loss of 5 Ib since she recerved her chemotherapy treatment 5 Cas ago * Dry oral mucous membranes Aers available at hrep /levolve elsevier .com/Lewis/medsurg.

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