Fluid/Electrolyte Balance 1
What will the labs look like for a patient who is dehydrated. Select all that apply.
a. Sodium >145 mEq/L
b. Potassium 4mEq/L
c. Creatinine >1.2 mg/dL
d. Magnesium 2.0 mg/dL
a,c,d
What are the major organs involved in the regulation of acid-base balance.
Bones, Lungs, Kidneys
Dehydration
Anaphylaxis is a ______ mediated reaction
IgE
Type I hypersensitivity
If patient presents with blood serum Sodium (Na+) levels of 150 mEq/L what are some ways the nurse can expect to treat the patient? Select all that apply.
A. Increase patients sodium intake
B. Restrict Fluids
C. Administer Lactated Ringers
D. Adiminister 0.9% Normal Saline
E. Adiminister 0.45% Normal Saline
F. Administer Loop Diuretics
C,D, E, and F.
A patient states they have been vomiting for the last 4 days. The patient is irritable, weak, and reporting muscle cramping and weakness. On assessment, the patient is experiencing bradypnea with a respiratory rate of 10. The patient has the following ABGs result: HCO3 36, pH 7.52, PaCO2 48. Which condition below is presenting?
A. Metabolic alkalosis partially compensated
B. Metabolic alkalosis fully compensated
C. Metabolic acidosis partially compensated
D. Metabolic acidosis not compensated
Metabolic alkalosis partially compensated
What is the treatment for a patient who presents with sickle cell anemia?
Hydration and electrolytes
Oxygenation
Pain relief (opioids)
If you receive a patients labs with a serum Sodium (Na+) level of 100 mEq/L what can you expect the serum Chloride (Cl-) levels to be?
82 mEq/L
You get labs back and the pt has potassium levels less than 3.4 mEq/L. What are some signs and symptoms they will present with?
pH 9.2, shallow respirations, thready pulse
What are the steps associated with hemostasis?
Vasoconstriction
Development of platelet plug
Blood coagulation
A patient has the following arterial blood gases: HCO3- 38, pH-7.50, PaCO2-50. Which of the following signs may this patient exhibit as a compensatory mechanism?
Hypoventiliation (bradpnea)
A patient is in metabolic alkalosis due to diuretic therapy. How do you expect the potassium and bicarbonate level to be affected?
Decreased potassium and increased bicarb level
Your patient is 65 and have lymphocytosis with a WBC>20,000/uL. What is your nursing diagnosis?
Chronic Lymphocytic Leukemia (CLL)
A patient has the following arterial blood gases: PaCO:33, HCO3:15, pH: 7.23. They are presenting with what condition?
Metabolic acidosis, partially compensated
A patient reports taking Diamox and has been reporting confusion, fatigue, and headaches. On assessment, you note the patient is exhibiting deep and rapid respirations. Which arterial blood gas finding below confirms the acid-base imbalance for this patient given their symptoms and medication usage?
A. HCO3 12, pH 7.19, PaCO2 29
B. HCO3 23, pH 7.36, PaCO2 36
C. HCO3 10, pH 7.65, PaCO2 47
D. PaCO2 49, pH 7.55, HCO3 21
A. HCO3-12, pH 7.19, PaCO2 29