You are assigned to care for a 65-year-old woman admitted last evening with a recent
history of cellulitis and a 3-day history of persistent vomiting and diarrhea. She takes no
medications at home, other than a daily multivitamin. Her weight on admission was 153
pounds. The patient states her original weight is 165 pounds (75 kg). The nurse notes
that the patient’s mucous membranes and skin are dry. Vital signs are temperature
F, pulse 112, respirations 32, and blood pressure 100/76. Her urine output over
the last 8 hours is 125 mL with a specific gravity of 1.033. Morning labs reveal serum K+
3.5 mEq/L; Na+ 159 mEq/L; and Cl- 120 mEq/ L. Her hematocrit and BUN were
elevated. Serum glucose was 163 mg/ dl. Her ABG results were: pH of 7.30, HCO
mEq/L, PaCO2 of 28, PaO2 of 88.
The nurse assesses the patient’s body fluid state. Name four of her symptoms
and laboratory findings that are suggestive of the fluid imbalance (dehydration).