NUR 502 Module 3 Discussion Pulmonary Function
Fluid, Electrolyte, and Acid-Base Homeostasis
Type of Water and Electrolyte Imbalance
One of the water and electrolyte imbalances according to the admission laboratory values if Ms. Brown is hypernatremia. This is a result of increased high serum sodium emanating from insufficient intake of water and dehydration. The other one is hyperglycemia. Normally, this is associated with increased levels of serum glucose, contributing to dehydration and osmotic diuresis. Another one is hyperchloremia connected by increased chloride levels and highly indicates dehydration as it accompanies hypernatremia.
Signs and Symptoms.
Traditionally, hypernatremia is highly manifested with dryness in the mucous membranes, restlessness, thirst, and interfered mental status. Additionally, hyperglycemia signs and symptoms include urinating frequently, blurred vision, fatigue, and exercising thirst. Considering hyperchloremia, this condition is normally asymptomatic though it is connected with dehydration and acidosis. About Ms. Brown’s potassium levels, which in this case is high potassium levels, the commonly presented symptoms comprise fatigue, weakness of the muscles, and cardiac arrhythmias (Cleveland Clinic, 2023).
Suitable Treatment
One of the treatments involves electrolyte imbalance correction and monitoring with proper measures. Another treatment is encouraging the use of intravenous fluid for addressing the dehydration issue and correcting hyponatremia.
ABG indicating acid-base imbalance
Based on Ms. Brown acidosis is indicated by a pH of 7.30. Additionally, metabolic acidosis is indicated by HC03-20mEq/L. moreover, respiratory compensation for metabolic acidosis is portrayed by PaCO2 32 mmHg.
Clinical Significance and Anion Gaps
The anion gap refers to the existence difference between the measured cation and anion. Normally, an anion gap is useful for pinpointing possible errors in electrolyte measurements. In most instances, an anion gap that is elevated indicates metabolic acidosis. Significantly, the anion gap’s clinical significance is that it is helpful for metabolic acidosis diagnosis and classification. This helps guide suitable treatment.
References
Cleveland Clinic. (2023, May 11). Hyperkalemia. https://my.clevelandclinic.org/health/diseases/15184-hyperkalemia-high-blood-potassium
Pandey, D. G., & Sharma, S. (2023, July 10). Biochemistry, anion gap – StatPearls – NCBI bookshelf. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK539757/
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