Liša Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGS]: pH = 7.13, P,CO2 = 35 mmHg, HCO,-= 16 mEq/L, P,O2 = 89 mmHg, and oxygen saturation = 94%. 1. Identify LSs current acid-base disorder. 2. What is the most likely underlying cause of the acid-base disorder LS is experiencing? 3. What electrolyte disturbances need to be monitored at this time?

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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Lisa Smith (LS) is brought to the emergency department [ER]
for management of accidental acute poisoning. She is
nonresponsive and admitted to the critical care unit [CCU] to be
closely monitored. LS has no urinary output, and her laboratory
values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L;
arterial blood gases [ABGS]: pH = 7.13, P,CO2 = 35 mmHg,
HCO,- = 16 mEq/L, P,O2 = 89 mmHg, and oxygen saturation
94%.
1. Identify LS's current acid-base disorder.
2. What is the most likely underlying cause of the acid-base
disorder LS is experiencing?
3. What electrolyte disturbances need to be monitored at
this time?
4. What clinical sign & symptoms should the nurse be
assessing LP, at this time, for the electrolyte
disturbances, identified in Question 3?
Transcribed Image Text:Lisa Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGS]: pH = 7.13, P,CO2 = 35 mmHg, HCO,- = 16 mEq/L, P,O2 = 89 mmHg, and oxygen saturation 94%. 1. Identify LS's current acid-base disorder. 2. What is the most likely underlying cause of the acid-base disorder LS is experiencing? 3. What electrolyte disturbances need to be monitored at this time? 4. What clinical sign & symptoms should the nurse be assessing LP, at this time, for the electrolyte disturbances, identified in Question 3?
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