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Case Study
Jane Fonda Is a 74 year-old female who lives alone, and has been admitted to the hospital because of weakness and confusion. She has a history of chronic heart failure and chronic diuretic use.
Objective Data:
Neurologic: confusion, slow to respond to questioning, generalized weakness
Cardiovascular: blood pressure90/62, heart rate112 and irregular, peripheral pulse is weak,
EKG indicates sinus tachycardiaPulmonary respiration 12 per minute and shallowAdditional findings: decreased skin turgor and dry mucous membranesSignificant Laboratory Results:Serum Electrolytes:Sodium 141mEq/LPotassium 2.5 mEq/LChloride 85mEq/LHC)3 43mEq/LBUN 42 mg/dl (15mmol/L)Arterial blood gas (ph 7.52, PaCO2 55mmHg PaO2 88mmHg HC)3 42mEq/L
1. Evaluate Jane's fluid volume and electrolyte status. Which physical assessment findings support your analysis? Which laboratory results support your analysis? What is the most likely etiology of these imbalances?
2. Explain the rational for Jane's EKG changes.
Verified Expert
This assignment is a case study of an old lady who is suffering from chronic heart failure ans she was using diuretic for a long time. her report says that she was suffering from deficit fluid volume due to hypokalemia.
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