Question
Answered step-by-step

I am a beginning nurse student.

I need help with the below fluid & elecrolyte case studies. Please help me. Thank you!


FLUID & ELECTROLYTES CASE 1


Bob Jones, age 35, finishes running his first marathon in 88F heat with a time of 4 hours and 22 minutes. Shortly after crossing the finish line he collapses but does not lose consciousness. In the medical tent he c/o lightheadedness, nausea, a dry mouth and muscle cramps in his lower extremities. VS are BP 88/52, P 138, R 28 and T 99F.


Do you think Bob has a fluid imbalance? If yes, what kind?


What lead you to this conclusion?


If a BUN and creatinine were drawn, what would you expect to see?


An IV is started at 300 ml/hr. What type of IV fluids?


After 45 minutes, Bob reports his lightheadedness is gone. He is still experiencing some cramping in his legs. What other labs should be checked?


What could be causing the cramping?


Identify possible nursing diagnoses and interventions for Bob



FLUID & ELECTROLYTES CASE 2


John and Lisa Kent are driving through the Arizona desert when their rental car ran out of gas. It is a sunny 120 degrees, with no shade. Within 10 minutes, Lisa c/o headache and dizziness.


What could be the cause of her symptoms?


What are other s/s of this problem?


Throughout the afternoon, John and Lisa slowly ration the fruit and soft drinks they had with them. By sunset, it has cooled to 100F. John c/o nausea, he is not perspiring. Lisa's headache remains and she is tachycardic. Both are lethargic. Who is in greater danger of a fluid and electrolyte imbalance?


John begins vomiting during the night. What electrolyte imbalance will result?


What is a good source of this electrolyte?


What fatal complication can occur with this electrolyte imbalance?


Early in the morning, a truck driver finds John and Lisa. They are lethargic, warm. He calls for

help and they are transported to a hospital 80 miles away.


What electrolyte replacements will they need?


What observations would indicate recovery?


Identify possible nursing diagnoses and interventions for the couple.



FLUID & ELECTROLYTES CASE 3


Mark Black is a 28-year-old snow boarder who is found by the ski patrol several hours after a

fall on the slopes. He is incoherent. His pulse is slow and irregular, respirations are slow, pupils

are dilated and muscles are rigid. He is wrapped in blankets and placed on a sled. Back at the lodge, his body temperature is 90F. His left hand is numb, swollen and painful.


What initial interventions should be employed to prevent cellular damage from frostbite?


During rewarming, fluids shift out of cells and capillaries. This leads to what fluid problems?


What labs would be important to evaluate?


Mark has an elevate K level. Why?


His Hct is also elevated. IV fluids are ordered. What type of IV fluid will be given and why?


Mark is attached to a cardiac monitor because he is in danger of developing cardiac arrhythmias.


Why?


Mark requests a cigarette when he is feeling better. Should he be allowed to smoke?


Identify possible nursing diagnoses and interventions for Mark



FLUID & ELECTROLYTES CASE 4


Lauren Scott is a 20-year-old college student who is brought to the ED by her college roommate.


According to her roommate, she has had the flu with vomiting and diarrhea for two days. Lauren is lethargic; her skin is warm and flushed. Mucous membranes are dry. VS are: BP 86/50, P 120, R 24, and T 99.5F. She does not remember when she last voided.


What fluid imbalance is Lauren experiencing?


What s/s lead to this conclusion?


An IV of D5½NS with 40 mEq KCl is started at 200 ml/hr. The nurse hangs the IV and manually sets the rate because an infusion pump is not available. The nurse becomes busy with other patients for approximately two hours. When she returns to check on Lauren, she finds that the entire 1000 ml of fluid has infused. Lauren is coughing and complaining of dyspnea. Her lungs have crackles.


What fluid imbalance is Lauren now experiencing?


What are other s/s of this problem?


What can be done to correct this problem?


Electrolyte levels are drawn. Lauren's K is 5.8.


What are some s/s of Hyperkalemia?


What could be given to lower K?


Identify possible nursing diagnoses and interventions for Lauren

Answer & Explanation
Verified Solved by verified expert
<p>s a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet</p> Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet

Unlock full access to Course Hero

Explore over 16 million step-by-step answers from our library

Subscribe to view answer

    gue

    • itae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie con

    gue

    a. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Do

    • Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor n

    lestie consequat, ultrices ac magna. Fusce dui lectus,

    ng elit. Nam lacinia pulvinar tortor nec facilisis. Pell

    • lestie consequat,
    • ongue vel laoreet ac,

    tesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictu

    • , consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat

    consectetur adipiscing elit. Nam la

    • nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus an

    sum dolor sit amet, consectetur adipiscing elit. Nam lacinia

    itur laoreet. Nam

    , consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Na

    gue

    trices ac magna. F

    • m ipsum dolor sit amet, c
    • ec facilisis. Pellentesque dapibus e
    • icitur laoreet. Nam risus ante, d
    • at, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing eli
    • tesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel lao
    • acinia pulvinar tortor nec facilisis. Pellentesque dapibus effici
    • , dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit am

    Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Na

    trices ac magna. F

    • ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, cons
    • et, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risu
    • consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitu

    cing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante

    , dictum vitae

    • onec aliquet. Lorem ipsum dolor sit amet, consectet
    • ia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoree
    • ce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, c
    • ctum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque
    • at, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit am

    or nec

    et, consectetur adipiscing elit. Nam lac

    • congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing el

    usce dui lectus, congue vel laoreet

    • nec facilisis. Pellente
    • fficitur laoreet. Nam risus ant
    • ipsum dolor si
    • icitur laoreet. Nam risus a
    • m ipsum dolor sit amet, consectet
    • ng elit.
    • itur

    , dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, co

    • ec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia

    risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus

    • a. Fusce dui l

    s ante, dapibus a molestie consequat, ult

    • ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacin

    itur laoreet. Nam risus ante, dapibus a molestie consequat, ultric

    • fficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consec

    , dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibu

    gue

    inia pulvinar tortor nec facilisis. Pellentes

    • ia pulvinar tortor n
    • inia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapi

    or nec facilisis. Pellentesque dapibus eff

    • entesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. F

    facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante,

    gue

    ipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus

    trices ac magna. F

    • , consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisi
    • nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue ve
    • ce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lor
    • onec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus effici
    • ipsum dolor sit amet, consectetur adipiscing elit. Nam lacini

    pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac mag

    , dictum vitae

    • o. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesqu
    • gue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetu
    • ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor
    • o. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec f
    • iscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet.

    ipisci

    acinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus

    • onec aliquet. Lorem i
    • acinia pulvinar tortor nec facilisis. Pellentesque
    • o. Donec aliquet. Lorem ipsum dolor sit

    icitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lect

    • itur laoree

    ng elit. Nam lacinia pulvinar tortor nec

    • ac, dictum vit

    trices ac magna. Fusce dui lectus

    • ctum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing el

    consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus

    • trices ac magna. Fu

    ec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie conseq

    usce

    • entesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, co

    s a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac,

    • ongue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tort

    ongue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem

    ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit a

    , dictum vitae

    • trices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum
    • m risus ante, dapibus a molestie consequat, ultrices ac magna.
    • iscing elit. Nam lacinia pulvinar tortor
    • entesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac,

    iscing

    ac, dictum vitae odio. Donec aliquet. Lorem

    • , consectetur a

    ac, dictum vitae odio. Donec aliq

    • ac, dictum vitae odio
    • m ipsum
    • inia pulvinar tortor ne
    • Fusce dui lectus
    • ac, dict
    • at, ul
    • ipiscing elit.
    • ia pulvinar

    ipsum dolor sit amet, consectetur adipiscing eli

    • a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vit

    usce dui lectus, congue vel laoreet

    • m risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, co
    • onec aliquet
    • a. Fusce dui lectus, congue vel lao
    • ctum vitae odio. Donec alique
    • ctum vitae odio. Donec aliquet. L
    • ipiscing elit. Nam
    • icitur laore
    • ce dui lectus, c
    • risus ante, dapibus
    • tesque dapibus efficitur laoreet. Nam risus ante, dapibus a mol
    • ce dui lectus, congue vel laoreet ac, dictum
    • facilisis. Pellentesque dapibus effici
    • et, consectetur adipiscing elit. Nam

    , dictum vitae odio. Donec aliquet. Lorem

    • e vel laoreet ac, dict
    • a molestie consequ
    • a. Fusce dui l

    risus ante, dapibus a molestie consequat, ultri

    • dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetu
    • molestie consequ

    molestie consequat, ultrices ac m

    • ia pulvinar to
    • nec facilisis. Pellentesque da
    • Fusce
    • facilisis. Pellentesque
    • ipiscing elit.
    • usce du
    • , dictum vitae odio. D
    • dictum vitae odio. Donec aliq
    • inia pulvinar tortor nec fa

    ia pulvinar tortor nec facilisi

    • llentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna

    o. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipis

    fficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna.

    trices ac magna. F

    • or nec facilisis. Pellentesque dapibus efficitur laore
    • , consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisi
    • ce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lor
    • ipsum dolor sit amet, consectetur adipiscing elit. Nam lacini
    • ultrices ac magna. Fusce dui lectu

    Fusce dui lectus, congue vel laoreet ac,

    gue vel laoreet

    • m risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet,
    • at, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dict
    • dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet.
    • ongue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus effi

    gue

    Step-by-step explanation

    ce dui lec

    onec aliquet. Lorem ipsum dolor sit amet, consectetur adipi

    a molestie consequat, ultri

    ipiscing elit

    ipiscing elit. Nam lacinia

    ur laoreet

    a. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lac