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Fluid_Electrolyte_cases_Bb_2012 (1)

Labs 164 48 28 26 q what is the serum osmolality q

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Labs: 164 / 126 / 50 98 4.8 / 28 / 2.6 Q: What is the serum osmolality? Q: Assess the volume status. Q: Are there any electrolyte abnormalities? Q: What would potentially correct this situation?
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Case # 6 A 67 y/o volunteer gardener arrives to her routine physician visit tired and weak. When asked she indicates that the weeds are out of control & she is just tired from to much work. glaucoma. She takes furosemide 20 mg QD, diltiazem 90 mg QID, and metformin 500 mg BID. Her physical exam is unremarkable with the exception that her extremities & mucous membranes are dry. 154 / 98 / 15 87 Ca +2 8.7 Mg + 1.5 PO 4 2.9 3.1 / 22 / 1.6
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Case # 6 A 67 y/o volunteer gardener arrives to her routine physician visit tired and weak. When asked she indicates that the weeds are out of control & she is just tired from to much work. Her PMH includes glaucoma . She takes furosemide 20 mg QD, diltiazem 90 mg QID, and metformin 500 mg BID . Her physical exam is unremarkable with the exception that her extremeties & mucous membranes are dry . 154 / 98 / 15 87 Ca +2 8.7 Mg + 1.5 PO 4 2.9 3.1 / 22 / 1.6
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Case #7 A 40 y/o male presented to the ED with a chief complaint of profound weakness. He had noticed some mild weakness, generalized malaise, & mild nausea for 2 days but this marked weakness developed suddenly on the morning of
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Labs 164 48 28 26 Q What is the serum osmolality Q Assess...

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