Answered: 4. What has Frances' advanced age…

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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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?

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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