Comment on the normal-to-high sodium concentration.

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
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Comment on the normal-to-high sodium concentration. What is the clinical implication of this?

A 4-year-old boy is admitted to casualty with a working diagnosis of gastro-enteritis. On examination
you find that the child is dehydrated and has a severely decreased level of consciousness. The following
electrolytes and blood gas profile were obtained from a point-of-care instrument situated in casualty:
Sodium (Na)
Potassium (K)
pH
pCO₂
HCO,
145
1.9
7.2
22
9
Normal
Low (↓)
Low (↓)
Low (↓)
Low (1)
136-145 mmol/L
3.5-5.1 mmol/L
7.35-7.45
35-45 mmHg
22-30 mmol/L
Transcribed Image Text:A 4-year-old boy is admitted to casualty with a working diagnosis of gastro-enteritis. On examination you find that the child is dehydrated and has a severely decreased level of consciousness. The following electrolytes and blood gas profile were obtained from a point-of-care instrument situated in casualty: Sodium (Na) Potassium (K) pH pCO₂ HCO, 145 1.9 7.2 22 9 Normal Low (↓) Low (↓) Low (↓) Low (1) 136-145 mmol/L 3.5-5.1 mmol/L 7.35-7.45 35-45 mmHg 22-30 mmol/L
Expert Solution
Step 1

It is estimated that we require approximately 500 mg of sodium per day for these vital functions. However, consuming too much sodium can result in high blood pressure, heart disease, and stroke. It can also cause calcium loss, with some of it being pulled from bone.

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