The main medical problem of M.S. at this time. Case summary: Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

Question

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Answer 1

Question

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

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DaVita Dietitian Reference Manual Module 7- Adequacy of Hemodialysis CASE STUDIES Case 1 David was diagnosed with chronic kidney disease a year ago, and now needs hemodialysis. At his first treatment, the nurse hooks up the bloodlines to an access in David's chest. He tells her that he had surgery on his arm three months ago so it can be used for dialysis eventually. 1. What type of access does David have for the initial treatment? 2. Is David's arm access most likely a graft or fistula? 3. What possible reasons prevent use of a fistula or graft for the first dialysis treatment? Case 2 Ramon, a hemodialysis patient for six years, has lost 1.5 kg over the past six weeks. He denies nausea or vomiting, but does admit to eating less at meals and skipping dinner some days. Current dialysis prescription is: 3 1/2 hours (210 minutes), 3 times a week, ASAHI 1050S, APS dialyzer, dialysis flow rate 800 ml/min, blood flow rate 400 ml/min. Monthly bloodwork is as follows: Date K PO4 Pre-BUN…

DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis REVIEW QUESTIONS True False 1. 27 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Urea Reduction Ratio is a more accurate measurement of dialysis adequacy than Urea Kinetic Modeling. A fistula is the preferred type of vascular access. In the formula Kt/V, the V represents volume of total body water in which urea is distributed. In the formula Kt/V, time is measured in 15-minute increments, so 220 minutes would be rounded off to the nearest quarter hour. The DaVita minimum goal for adequacy is a spKt/V≥ 1.0. A measured height and accurate dry weight are required to obtain an accurate Kt/V result. A very low post BUN result usually means the patient is not eating enough protein. KRU is a measure of residual urea clearance by the patient's kidney, requiring a 24-hour urine collection. The Kt/V Delivered (single pool) is the value used for determining adequacy and comparing outcomes in DaVita facilities. Catheters are…

DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis Case 3 Beverly's monthly adequacy of dialysis results came back lower than usual. Her Kt/V is 1.13. Flow sheet data reveals the following: Prescribed BFR 400, patient ran BFR 325 during treatment Blood pressure dropped to 72/58 during treatment, so UFR was turned off. Dry weight 65 kg, pre dialysis weight 69 kg, post dialysis weight 66.5 kg 1. What are DaVita's goals for Kt/V? 2. What is your impression of why the Kt/V is low? 3. What additional information would help in determining why Beverly's adequacy results were below goal?

Answer 2

Question

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 3

Question

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Answer 4

Question

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Answer 5

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Answer 6

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

Answer 7

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

Answer 8

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

Answer 9

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

Answer 10

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Answer 11

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Answer 12

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Answer 13

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Answer 14

Expert Solution & Answer

Answer 15

Expert Solution & Answer

Answer 16

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Answer 17

Ch. 29 - Prob. 1O Ch. 29 - Prob. 2O Ch. 29 - Prob. 3O Ch. 29 - Prob. 4O Ch. 29 - Prob. 5O Ch. 29 - Prob. 6O Ch. 29 - Prob. 7O Ch. 29 - Prob. 1CS Ch. 29 - Prob. 1NERQ Ch. 29 - Prob. 2NERQ

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Chapter 29 Solutions