FLUID AND ELECTROLYTES CASE STUDIES 1) Mr. Johnson, 68-year-old,has been vomiting and has had diarrhea for 2 days. He complains ofbeing dizzy. The nurse assesses his physiologic status and notesthat his muscles are weak, his abdomen is distended, and bowelsounds are absent. a. What Electrolyte imbalance do you suspect? b.What is the normal range for this electrolyte? c. What othersymptoms can this patient have exhibited with this type ofelectrolyte imbalance? d. What treatment would be most appropriatefor this patient? 2) Mrs. Unger has a high temperature anddiaphoresis. She has been nauseated and has taken only ginger alefor the last several days. Her lab tests revealed a Sodium level of129 mEq/L and Potassium level of 3.7 mEq/L. a. What type ofelectrolyte imbalance do you suspect? b. What is the normal rangefor this electrolyte? c. What are some other clinical signs andsymptoms might you observe with this type of imbalance? d. Whentesting Mrs. Unger’s urine, what would you suspect her specificgravity to be? e. What treatment would be most appropriate for thispatient? 3) A patient has just received an administration of anintravenous potassium too rapidly. a. What signs and symptoms wouldyou assess for? b. What lab values would you check for thispatient? c. What treatment would be prescribed for this patient? 4)An elderly patient has just been admitted to the EmergencyDepartment with symptoms of confusion and muscle tremors. Whentaking his history, it is revealed he had been discharged from thehospital 2 days ago. He has been on IV therapy for a stomach virus,but could not keep down fluids after he was discharged. a. Whatelectrolyte imbalance do you suspect for this patient? b. Whatother signs and symptoms might you need to assess for? c. What typeof treatment would be appropriate for this patient? 5) Develop onecare plan for each case study from above. It should contain a NANDAnursing diagnosis, one goal, and at least four nursinginterventions. Nursing interventions are not doctor’s orders
