Assessment (Recognizing Cues): Which client information is relevant? What client data is most important? Which client information is of immediate concern? Consider signs and symptoms, lab work, client statements, H & P, and others. Consider subjective and objective data. Hello, Can you please help me with this question abour the next case: Case Acid Base inbalance: The patient is a 35 year -old female with AIDS brought to the emergency room with a fever of 39oC and a three month history of copious diarrhea. On physical exam the patient is a well-developed, thin female in moderate distress. Vital signs-(supine) blood pressure 100/60, pulse 100 and (standing) blood pressure 80/40, pulse 125, respirations 18 and she was afebrile. HEENT exam was normal. Cardiac exam demonstrated an S1 and S2 without S3, S4 or murmur. Lungs were clear to auscultation and percussion. The abdomen was supple and minimally tender to palpation. Bowel sounds were hyperactive. Stool was guiac negative. Extremities were without cyanosis, clubbing or edema. Neurological exam was intact. Laboratory Data Chemistry Normal Values Arterial Blood Gas Sodium 136 136-146 mmol/L pH 7.35PCO2 27 mmHgPO2 90 mmHgbicarbonate 14 mmol/L Potassium 3.4 3.5-5.3 mmol/L Chloride 112 98-108 mmol/L Total CO2 14 23-27 mmol/L BUN 30 7-22 mg/dl Creatinine 1.5 0.7-1.5 mg/dl Glucose 105 70-110 mg/dl THANK YOU IN ADVANCE!
Assessment (Recognizing Cues): Which client information is relevant? What client data is most important? Which client information is of immediate concern? Consider signs and symptoms, lab work, client statements, H & P, and others. Consider subjective and objective data.
Hello,
Can you please help me with this question abour the next case:
Case Acid Base inbalance: The patient is a 35 year -old female with AIDS brought to the emergency room with a fever of 39oC and a three month history of copious diarrhea.
On physical exam the patient is a well-developed, thin female in moderate distress. Vital signs-(supine) blood pressure 100/60, pulse 100 and (standing) blood pressure 80/40, pulse 125, respirations 18 and she was afebrile. HEENT exam was normal. Cardiac exam demonstrated an S1 and S2 without S3, S4 or murmur. Lungs were clear to auscultation and percussion. The abdomen was supple and minimally tender to palpation. Bowel sounds were hyperactive. Stool was guiac negative. Extremities were without cyanosis, clubbing or edema. Neurological exam was intact.
Laboratory Data
|
Chemistry |
Normal Values |
Arterial Blood Gas |
|
|
Sodium |
136 |
136-146 mmol/L |
pH 7.35 |
|
Potassium |
3.4 |
3.5-5.3 mmol/L |
|
|
Chloride |
112 |
98-108 mmol/L |
|
|
Total CO2 |
14 |
23-27 mmol/L |
|
|
BUN |
30 |
7-22 mg/dl |
|
|
Creatinine |
1.5 |
0.7-1.5 mg/dl |
|
|
Glucose |
105 |
70-110 mg/dl |
THANK YOU IN ADVANCE!
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